Total 2 job vacancies by Pt. Amman Mineral Nusa Tenggara/84457

·        Handle benefits enrollments, changes, and terminations accurately and promptly to the Insurance provider and BPJS Kesehatan.

·        Assist employees with benefits-related issues and questions, providing excellent customer service

·        Manage and process claims and invoices and resolve administrative problems with insurance providers.

·        Conduct presentations, enrollments, and educational sessions to inform employees about their benefits.

·        Evaluate benefits plans, programs, and policies to recommend changes and improvements.

·        Perform regular audits of benefits data to ensure accuracy and compliance

·        Ensure that all benefits programs comply with legal requirements.

Some of your duties will include:

·        Manage and protect the reputation of the company.

·        Understand the company's health benefits, insurance policies, and referral system.

·        Reading procedures, flow process, and guidelines, including regulations & best practices, to ensure that clinic operations & site health programs meet the qualities of the COMPANY expectations

·        Consistently meets or exceeds expectations for departmental standards related to Quality, Service Level, Call Goal, and other KPIs.

·        Liaise with other departments and sections, including external parties, e.g., hospitals and insurance companies, to ensure the proper site referral system.

·        Coordinate, supervise, monitor, and maintain ongoing tracking and appropriate documentation on all steps of the referral process.

·        Receive visiting employees/dependents and provide them with necessary assistance.

·        Discuss with the referral patient by email, telephone, WhatsApp, face-to-face, or other applicable recognized media by the company and provide information.

·        Provides information on the claim process, policy changes, benefits, and payment modes/methods

·        Maintain strong clientele relationships with employees and dependents.

·        Take calls from patients and in charge of offering necessary assistance to employees and dependents.

·        Analyze employees' and dependents' complaints, communicate, escalate, and communicate.

·        Record all conversations with patients, including details of inquiries or complaints (managing database) and action steps.

·        Recommending any necessary adjustments and changes in all business flow processes, including procedures & guideline

·        Keep accurate documentation, perform analysis (including maintaining the available database) & create a report for the medical advisor.

Assist health advisor/manager in monitoring the quality aspects of a site referral program.