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Associate Claim Investigator role in Jakarta, Indonesia
Investigate and analyze insurance claims, identify fraud, collaborate with cross-functional teams.
Description:
Conduct thorough investigations of insurance claims, including reviewing documents, evidence, and supporting data. Verify the authenticity and accuracy of claims by analyzing medical records, financial information, and other relevant documents. Perform field investigations when necessary, including interviews with claimants, witnesses, agents, or related parties. Identify potential fraud indicators and elevate suspicious cases for further action. Collaborate with internal teams (claims, underwriting, legal, and compliance) to ensure proper claim assessment. Prepare investigation reports with clear findings, conclusions, and recommendations. Maintain proper documentation and case records in line with company standards. Support in developing and improving fraud detection.
Qualifications:
Bachelor’s degree in Insurance, Law, Business, Finance, or a related field. Minimum 1–3 years of experience in claims handling, investigation, audit, or a related role (insurance industry preferred). Strong analytical and investigative skills. Knowledge of insurance claim processes, especially life or health insurance, is an advantage.