Insurance Claim Officer - Digital Insurance

Insurance Claim Officer - Digital Insurance Company Description

Cermati is a financial technology (fintech) startup based in Indonesia. Cermati simplifies the process of finding and applying for financial products by bringing everything online so people can shop around for financial products and apply without having to physically visit a bank.

Cermati’s team includes alumni from Silicon Valley tech companies such as Google, Microsoft, LinkedIn, Sofi and Indonesian startups such as Doku and Touchten. We have graduates from Universitas Indonesia, ITB, Stanford, University of Washington, Cornell, and many others. We’re building a world‑class fintech company in Indonesia with a culture of openness, transparency, drive, and meritocracy.

Job Description

Handle insurance recoupment and reconciliation works, communicate with providers and members via call and email for collection and explanation.

Follow up on manual claim and SOP strictly, adjudicate claims according to benefit policies, and meet both financial/procedure accuracy and target on claims adjudication.

Perform insurance claims assessment according to the actual situation.

Review the approved claims to ensure the accuracy and make adjustments as necessary.

Generate daily claim process and all related documents from the system and prepare claims documents to be sent to the payer.

Investigate claims through liaison parties to determine eligibility.

Complete all daily call log and daily claim log.

Prepare claim report on a regular basis.

Accountable on daily operations to meet productivity or service standards as defined by management in line with the department and/or division.

Qualifications

Minimum 2 years experience handling insurance claims in a broker insurance company.

Experience managing e‑commerce insurance inquiries.

Excellent knowledge of insurance policy and claim procedure; experience with shipping, travel, gadget, or retail insurance products preferred.

Computer literate and proficient in Microsoft Office.

Detail oriented.

Good analytical and communication skills.

Seniority Level Mid‑Senior level

Employment Type Contract

Job Function Analyst

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