S
Staffinc
Claim Analyst Lead
Skills
AI
2 months ago
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Important information
Contract type:
Permanent
Salary:
IDR 45,600,000 – IDR 48,000,000 / year
Location:
Yogyakarta, Yogyakarta City, Special Region of Yogyakarta, Indonesia
Work mode:
Onsite
Published on:
20 August 2026
What they need
- Lead and supervise a team of claim analysts, ensuring daily productivity, quality, and adherence to SOP and SLA
- Review and verify claim documents to ensure completeness and accuracy, including classifying claim documents by type and service, and identifying incomplete or invalid documents for escalation
- Oversee validation of AI-generated claim analysis results against supporting documents, ensuring accuracy of claim data such as diagnosis, cost, and service date
- Identify, investigate, and escalate discrepancies, incomplete documents, or potential fraud cases; act as the escalation point for complex or high-risk claims
- Monitor team performance and productivity, using tracking tools/reports to identify bottlenecks and improve turnaround time
- Ensure claim processing across the team complies with SOP and SLA; flag and resolve recurring issues with process or system (e.g. AI validation accuracy)
- Coordinate with client stakeholders on scope, escalations, and day-to-day operational matters
- Prepare, consolidate, and present claim reports and documentation to management and client
- Support onboarding, training, and coaching of claim analysts, including guidance on AI-assisted validation tools
- Provide accurate claim-related information and support escalated member inquiries
- Maintain confidentiality of member data and personal information
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