Claims Administrator

About the Company

For over 30 years, APRIL International has specialised in providing innovative international health insurance solutions. We design, distribute, and manage insurance plans and assistance services for individuals and businesses worldwide. With teams operating across Asia, Europe, and the Americas, we are committed to ensuring our members have access to the best care, no matter where they are.As part of the APRIL Group, an insurance specialist with 3,000 staff members in 20 countries, we are dedicated to simplifying insurance and delivering exceptional customer experiences.To sustain the company's growth and expand our services, we are currently looking for a Claims Administrator

Essential Job Functions

• Deliver excellent customer service through high-quality and efficient handling of policyholders’ claims.
• Understand clients’ needs, eligibility, and coverage, and provide appropriate assistance services accordingly.
• Manage cases proactively using internal systems and by communicating effectively with all relevant departments.
• Formulate, influence, interpret, and implement policies related to strategic claim resolution.
• Make prompt and timely decisions regarding policy coverage and settlement costs.
• Gather necessary information to perform accurate redress calculations.
• Achieve established targets while adhering to required quality standards.

Required Profile

• A university degree in a medical discipline is a strong advantage.
• Minimum of 2 years’ experience in claims processing or health insurance or medical.
• Excellent command of the English language; proficiency in Bahasa Indonesia is an added advantage.
• Strong ability to analyze and interpret medical information, product features, and research data, and to synthesize findings effectively.
• Ability to adapt and work effectively in a multicultural environment.
• Strong written communication skills, with the ability to write clearly and appropriately for different audiences and situations.
• Flexible, adaptable, and capable of multitasking.
• Proficient in computer use, including Microsoft Office applications, the Internet, and email.