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Medical Service Manager

SIRKA (YC S21)

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Deskripsi Pekerjaan

  • Determine policy coverage, establish proof of loss with proper documentation and provide accurate and timely assessment of medical claims within the required service standards and ensure that claims are paid accurately and promptly
  • Handle medical report cases and appeals
  • Seek clarifications and liaise with medical institutions and policyholders on outstanding requirements
  • Deliver excellent service and enhance customer and distribution channels relationship management
  • Attend to escalated claims enquiries
  • Suggest and participate in process improvement projects/ initiatives/ system enhancement, including establish claims best practices
  • Ensure compliance with internal and external regulatory and legal matter
  • Any other ad-hoc projects assigned by supervisor
  • Take accountability in considering business and regulatory compliance risks and take appropriate steps to mitigate the risks
  • Maintain awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company
  • Highlight any potential concerns/ risks and proactively share best risk management practices

Kualifikasi

  • Medicine and Clinical Research skills
  • Experience in Medical Affairs and Training
  • Strong research abilities
  • Excellent written and verbal communication skills
  • Ability to work effectively in a team
  • Previous experience in the healthcare or wellness industry is a plus
  • Medical degree
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Tentang SIRKA (YC S21)
Selengkapnya

SIRKA | Diet Coaching App

Sirka is a revolutionary diet coaching application developed by certified doctors, dietitians, and nutritionists. Sirka aims to make healthy living more straightforward and accessible through various features.

Sirka help improves the quality of life of the Indonesian people by giving them access to education and health services that are considered sensitive to be comfortable, personal, and reliable through the curation of scientific evidence.

Wellness Redefined

Find us on IG @sirka.io

Industri
Medicine Healthcare & Wellbeing
Lokasi
Jakarta Selatan, Indonesia
Ukuran Perusahaan
50–100 employees
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