job description
Join Asuransi Bina Dana Arta as a Medical Representative (Outsourced) and play a pivotal role in ensuring seamless insurance administration and claims processing for our valued clients in Bali’s dynamic healthcare landscape.
In this contract-based position, you will act as the bridge between healthcare providers, policyholders, and our insurance team, ensuring accurate documentation, timely claims resolution, and exceptional service delivery. Your expertise in medical terminology, attention to detail, and strong communication skills will be key to maintaining trust and efficiency in our operations.
Based in the vibrant regions of Canggu, Ubud, Denpasar, Jimbaran, Nusa Dua, Kuta, or Badung, this role offers the opportunity to work in a collaborative environment while contributing to the growth of Indonesia’s insurance sector. Whether you’re liaising with hospitals, verifying medical records, or assisting clients with claims, your work will directly impact customer satisfaction and operational excellence.
Responsibility
- Liaise with hospitals, clinics, and healthcare providers to verify medical records and treatment details for insurance claims.
- Review and process insurance claims, ensuring compliance with company policies and regulatory requirements.
- Assist clients with claims submissions, providing clear guidance on required documentation and procedures.
- Maintain accurate and up-to-date records of all claims, communications, and follow-ups in the company database.
- Collaborate with underwriters and claims adjusters to assess the validity of medical claims and determine coverage eligibility.
- Conduct regular site visits to healthcare facilities to build relationships and streamline claims verification processes.
- Educate policyholders on insurance benefits, exclusions, and claims processes to enhance transparency and trust.
- Identify and report discrepancies or fraudulent activities in claims to the management team for further investigation.
Qualifications
- Bachelor’s degree in Pharmacy, Nursing, Public Health, or a related medical field (preferred).
- Minimum 1-2 years of experience in medical representation, insurance claims, or healthcare administration.
- Strong knowledge of medical terminology, ICD-10 codes, and insurance policies.
- Excellent communication and interpersonal skills to interact with healthcare professionals and clients.
- Proficient in Microsoft Office (Excel, Word) and claims management software.
- Detail-oriented with the ability to analyze complex medical documents and detect inconsistencies.
- Familiarity with Indonesian healthcare regulations and insurance industry standards.
- Willingness to travel within Bali and work flexible hours as needed.