Deskripsi Pekerjaan
Private Advertiser is seeking a dedicated Agent Claim to join our dynamic team in Jakarta Raya. As a key member of our claims department, you'll be responsible for efficiently processing insurance claims initiated through our Call Center and E-care platforms. This role requires meticulous investigation skills to determine claim eligibility, thorough documentation of case details, and timely escalation of complex issues to senior management. You'll collaborate with cross-functional teams to ensure seamless claim resolution while maintaining compliance with regulatory standards and company policies. The ideal candidate will thrive in a fast-paced environment, demonstrating exceptional problem-solving abilities and a commitment to delivering outstanding customer service.
Tanggung Jawab
- Process and manage claim tickets generated by Call Center and E-care channels
- Conduct detailed investigations to verify claim eligibility and documentation
- Escalate complex cases to senior management with comprehensive supporting evidence
- Maintain accurate records of all claim activities and communications
- Coordinate with internal departments to resolve claim-related inquiries
- Ensure compliance with company policies and insurance industry regulations
- Provide timely updates to stakeholders regarding claim status and resolutions
Kualifikasi
- Minimum high school diploma; bachelor's degree preferred
- 1+ years of experience in claims processing or customer service
- Strong analytical and investigative skills with attention to detail
- Excellent communication and interpersonal abilities
- Proficiency in claim management software and MS Office Suite
- Ability to work independently and collaboratively in a team environment
- Problem-solving mindset with ability to handle escalated cases
- Basic knowledge of insurance regulations and procedures