Claim Analyst - Healthcare & Medical Sector

Join PT Vertika Technologies Nusantara as a Claim Analyst in the dynamic Healthcare & Medical sector. This contract role offers a unique opportunity to contribute to efficient claims processing, ensuring accuracy and compliance with industry standards. In this role, you'll be working closely with our team to manage and analyze claims data, leveraging tools like Microsoft Excel and Power BI to provide insights that drive operational improvements.

PT Vertika Technologies Nusantara is a leading technology company in Indonesia, known for its innovative solutions in the healthcare sector. Located in the heart of Jakarta Raya, our office provides a vibrant and collaborative environment where you can grow both professionally and personally. As a Claim Analyst, you'll play a crucial role in supporting our clients' healthcare claims processes, helping them achieve better outcomes for their patients and providers.

📋 Tanggung Jawab Pekerjaan

• Analyze and process healthcare claims data to ensure accuracy and compliance with industry standards.
• Utilize Microsoft Excel and Power BI to create reports and dashboards that provide insights into claims trends and performance.
• Collaborate with internal teams and external stakeholders to resolve claims discrepancies and improve processing efficiency.
• Monitor claims payments and follow up on any outstanding or denied claims.
• Stay up-to-date with the latest developments in healthcare regulations and insurance policies.
• Provide training and support to other team members on claims processing procedures.
• Participate in continuous improvement initiatives to enhance our claims processing systems.
• Work closely with our IT team to ensure our claims management software is functioning optimally.

🎓 Kualifikasi & Syarat

• Bachelor's degree in Business Administration, Information Technology, or a related field.
• Minimum of 3 years of experience in claims analysis or a similar role in the healthcare or insurance industry.
• Proficient in Microsoft Excel and Power BI for data analysis and visualization.
• Strong understanding of healthcare regulations and insurance policies.
• Excellent communication and interpersonal skills to work effectively with internal and external stakeholders.
• Ability to work in a fast-paced environment and meet tight deadlines.
• Certification in claims processing or a related field is a plus.
• Fluency in both English and Indonesian is required.

🛠️ Keahlian

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