Job Description
- Liaise and coordinate with the TPA, internal parties, and other related parties to seek guidance on the course of claims analysis and investigation.
- Monitoring the TPA and coordinating with related parties in terms of giving the information to the customer regarding the claim.
- Conducting investigations on various suspicious insurance claims, which may also include claims that are suspected to have originated from fraud, criminal activities, falsified or false documents, arson, or unnecessary medical procedures.
- Examine and review data and information (photographs, documents, medical records, statements, etc.), record all the data and information that supports claim investigation correctly and accurately, and Research audio or video surveillance and carefully watch them for clues.
- Paying visits to the accident scene and investigating several circumstances.
- If needed testifying in court cases when a claimant is guilty and accused of fraud.
Requirements
- Bachelor S1 from Faculty of Pharmacy, Nurse, Medical, FKM or equivalent
- Have 2-3 years experience as a Claim Analyst, Fraud or Claim Investigator
- Preferably have Certified Life Insurance
- Strong in detail and analysis
- Able to work with deadlines and underpressures
Tips Menjaga Diri
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PT MSIG Life Insurance Indonesia Tbk (juga dikenal sebagai MSIG Life) telah meramaikan industri asuransi jiwa nasional sejak 14 April 1985. Berdiri sebagai PT Asuransi Jiwa Purnamala Internasional Indonesia (PII) lalu menjalani dua kali proses transformasi, MSIG Life hadir sebagai perusahaan joint venture antara PT Sinar Mas Multiartha Tbk dan grup asuransi raksasa Jepang, Mitsui Sumitomo Insurance Co., Ltd. pada tahun 2011.
MSIG Life resmi menjadi perusahaan terbuka pada 28 Juni 2019 dengan nama PT Asuransi Jiwa Sinarmas MSIG Tbk. Pada tanggal 9 Juli 2019, saham MSIG Life (kode saham: LIFE) mulai melantai di Bursa Efek Indonesia. Bersamaan dengan itu, Mitsui Sumitomo Insurance Co., Ltd. (MSI) resmi menjadi pemegang saham utama dengan komposisi kepemilikan saham Mitsui Sumitomo Insurance Co., Ltd. (80%), PT Sinar Mas Multiartha Tbk (12,5%) dan publik (7,5%).
Mitsui Sumitomo Insurance Co., Ltd. merupakan anak perusahaan MS&AD Insurance Group Holdings, Inc. MS&AD memegang pangsa terbesar premi asuransi umum di Jepang dan tercatat dalam 10 besar bisnis grup asuransi di dunia.
