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Claim Analyst Lead

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Onsite

Claim Analyst Lead

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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