Customer Service Asuransi Kesehatan (Nakes)

About the role

This is a health claims analysis and customer service role within an insurance or healthcare administration environment. The position involves processing health insurance claims, managing customer interactions, and maintaining detailed documentation of all transactions.

Key responsibilities

• Provide information services to customers

• Handle customer inquiries, requests, and complaints

• Document all customer interactions in the company system

• Follow up on resolution of customer complaints

• Execute KPI, SLA, SOP, and work instructions as applicable

• Perform other tasks related to Contact Center functions

About you

• Minimum D3/S1 education, preferably with background in healthcare (Nursing, Midwifery, Pharmacy, Public Health, or Health Insurance Management)

• Preferred minimum 1 year experience as Health Claims Analyst in insurance company, TPA (Third Party Administration), or hospital claims/medical administration department

• Understanding of medical terminology, healthcare service flow, and health insurance regulations

• Able to operate MS Office (especially MS Excel)

• Strong analytical capability

• Detail-oriented and thorough

• Service-oriented