Claim Analyst
Manulife — Jakarta
Posted 2026-09-08
Claims Analyst is responsible for reviewing, assessing, and adjudicating health insurance claims in accordance with policy provisions, company guidelines, and regulatory requirements. This role ensures claims are processed accurately, fairly, and within established service standards, while maintaining compliance with internal procedures and risk controls. In addition, the Claims Analyst works closely with customers, healthcare providers, and internal stakeholders to gather and validate claim information, resolve inquiries, and support timely claim resolutions. The role plays a key part in delivering a positive customer experience by balancing efficient claim handling with high standards of quality and service. Position Responsibilities Review and assess health insurance claims submitted by members and healthcare providers. Verify the completeness and accuracy of supporting documents, including medical diagnoses, treatment records, investigation results, and medical expenses. Validate policy eligibility, benefits, coverage limits, exclusions, and applicable terms before making claim decisions. Determine claim outcomes, including approval, rejection, partial approval, or requests for