Dokter Okupasi - Section Head Health Claim

Section Head Health Claim have to make sure the verification and approval claim processes executed properly & thoroughly, also they need to encourage and implement innovations in process and services in Health Claim.

Minimum Qualifications:

• Candidate MUST be Doctor with Occupational Specialist Certification (Sp. Ok)
• Fresh Graduate Occupational Physician (Dokter Okupasi) are welcome
• Have a good understanding aboutclinic management will be a plus
• Great Logical & Analytical thinking
• Able to work as a team and manage a team
• Skilled at Microsoft Excel

Job Descriptions:

• Ensure: (a) Claim content (medical procedures, medical examinations, and medications) in accordance with policies’ coverage plan; (b) Medical procedures, examination, and medications fee is in accordance with terms & conditions; (c) Claim content to hospitals or health provider (in accordance to policies' coverage plan)
• Giving out advice and medical recommendations for specific medical cases to companies based on received informations from hospitals or patient to suggest the best solutions.
• Encourage and implement innovations in process dan new services
• Make and implement TOD (Table of Duties) for team member based on work plan
• Monitor and evaluate team productivity in order to achieved agreed productivity targets
• Lead health projects in Health Operation Division and suggest an improvement in health industry (for example: medical check-up system, claim process system, etc)

Placement: Head Office - Jakarta Selatan