Case Management Doctor (PRD)
PT Asuransi Allianz Life Indonesia
- South Jakarta, IndonesiaSouth Jakarta, DKI Jakarta, IndonesiaSouth JakartaDKI JakartaIndonesiaIndonesia
- Penuh waktuFULL_TIME
Berakhir a year ago
2023-03-03T17:00:00+00:00Ditutup.
Deskripsi Pekerjaan
- Provide opinions or decisions for assurance cases in accordance with the authority given
- Coordinate with the Allianz and Admedika Medical Hotline related to the first point
- Supervise assurance problems that often occur such as bills outside the agreement rate (overcharge), overtreatment actions, changes in medical diagnoses/information, fraud cases, suspicions, PEC, or simple but repetitive cases
- Conduct regular meetings with Partner Providers to ensure that the problems in point 3 do not occur
- Negotiate with the Associate Provider if there are any unreasonable price increases, overdue matters, or matters outside the agreement
- Supervise the performance of Associate Providers regularly and report in writing to the Partner
- Prepare or provide daily, weekly, and monthly reports on problems that occur around assurance/treatment to be discussed and sought for preventive measures
Kualifikasi Minimum
- Have experience in insurance / TPA field at least 3 years
- Education background in Medical
- Have insurance knowledge
- Have negotiation skill
- Good communication and presentation skills
Ringkasan Perkerjaan
- Tingkat Posisi
- Mid-Senior Level Manager
- Spesialisasi
- Health and Medical
- Persyaratan tingkat pendidikan
- Lulus program Sarjana (S1)
- Alamat Kantor
- World Trade Centre (WTC) 3 dan 6, Jl. Jenderal Sudirman, Kav. 29-31 Jakarta Selatan 12920, Indonesia
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Tentang PT Asuransi Allianz Life Indonesia
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is
what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better
future for our customers and the world around us.
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter
where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, or disability.
Join us. Let's care for tomorrow
"The entire recruitment process at Allianz Indonesia is free of charge. Please find out further information at our official website www.allianz.co.id"