Job description for Minor Claim QA at RecruitFirst
🏢 Industry: Insurance
📍 Location: South Jakarta
Responsibilities:
- Review insurance claims to ensure accuracy and compliance with internal policies and regulations
- Identify errors, inconsistencies, and potential fraud within claim documents and processes
- Monitor claim processing TAT and overall operational efficiency
Provide feedback and recommendations to improve claim handling processes
- Ensure proper documentation and quality standards across claim operations
Requirements:
- Bachelor’s degree, preferably with medical knowledge/background
- Experience in insurance industry, especially in claim handling or claim QA
- Good understanding of claim processes and insurance principles
- Strong attention to detail and analytical thinking
- Good communication and coordination skills
- Certification in quality management, compliance, or fraud detection is a plus
