Job Description
- Lead the claims resolution strategy and oversee all aspects of the claims process, including assessment, handling, adjustment, settlement, investigations, litigation, and recovery.
- Lead transformation in claim management's operational area that focuses on strong governance, streamlined process, cost-effectiveness and user-oriented digital solutions to improve customer experience in the claim process.
- Analyse claims trends and industry data to ensure high-impact operating results and fair outcomes for customers
- Build, expand and maintain good relationships with TPA and Providers (Private and Government Own) and periodically evaluate the business agreement with providers to improve cost control, maximize service delivery to customers, and provide best-in-class Claim services to Customers.
- Carries out the assessment and settlement of life, accident, disability, and health insurance claims arising from policies in force and makes policy recommendations for claims handling and guidelines for claims processes.
- Liaises with solicitors and other third parties to seek guidance on the course of action of best interest to the company during claims investigation and cases.
- Manage and monitor the claim investigation process on claim cases by examining claims data and facts to ensure the resolution of Claim investigation and Claim cases.
- Build a knowledgeable team and oversee their learning and development to ensure effective succession planning and communication of key imperatives.
- Act as medical advisor for the internal company.
- Provides leadership by giving direction, coaching and/or mentoring, and performance monitoring to the team
Minimum Qualifications
- Claim management experience with insurance companies, TPAs, or brokers for Life, Personal Accident (PA), and Health policies.
- Possesses the ability to work in a team and provide clear guidance to team members.
- Demonstrates strong analytical and problem-solving skills.
- Proficient in analytical thinking related to claim matters.
- Excellent communication skills, both verbal and written.
- Basic proficiency in English language skills.
Perks and Benefits
- Paid Vacation Leave
- Paid Sick Leave
- Medical / Health Insurance
- Maternity & Paternity Leave
Jobs Summary
- Job Level
- Associate / Supervisor
- Job Category
- Administration and Coordination
- Educational Requirement
- Bachelor's degree graduate
- Office Address
- Jl. Raya Cilandak Kko No.31, RT.14/RW.8, Ragunan, Ps. Minggu
About Kitabisa
What is it like working at Kitabisa?
About us
Kitabisa stands as Indonesia's foremost digital fundraising and donation platform, serving as a nexus for millions of acts of kindness. Originating as a grassroots movement in 2013, we have continually expanded our reach and forged partnerships with diverse entities including corporations, governmental bodies, NGOs, hospitals, and prominent individuals. Together, we harness collective action to address societal challenges, with millions of #orangbaik contributors amplifying our impact in aiding those in need. Through leveraging technology, our vision is to cultivate the largest community dedicated to mutual aid and support. Our recent milestone, the acquisition of a sharia-compliant life insurance company, underscores our dedication to advancing inclusive and ethical financial solutions, furthering our mission of social impact and innovation.
What we value
At Kitabisa, our work isn't just about tasks; it's about purpose. We're dedicated to connecting acts of kindness, amplifying their impact, and directly improving the lives of others, infusing our work with profound meaning. Guided by the principles of Berani, Berbuat, Baik, we embody courage by doing what's right even when no one's watching, upholding truthfulness, and respecting diversity. We are committed to action, understanding that mere words hold little weight without tangible steps forward. As 'doers', we prioritize action and value progress over perfection. Kindness forms the bedrock of everything we do, extending to ourselves, our colleagues, and, most importantly, those in need. If you share our values and seek to make a genuine difference in the lives of others, we invite you to join us on this meaningful journey.
Our Commitment
Kitabisa is an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, or disability status.