Role Description – Duties & Responsibilities:

• Conduct claim analysis based on strong medical knowledge related to the claim process, including claim submission, review, and resolution, covering medical terminology, relevant medical codes, as well as understanding life insurance products, policy mechanisms, claim procedures, and applicable regulations.
• Identify and resolve complex claim cases effectively throughout the claim process using data-driven analysis to determine appropriate solutions and make accurate decisions.
• Perform communication and negotiation with ceding companies and retrocession partners to resolve claim disputes.
• Build and maintain good working relationships with various stakeholders, both internal (within the company) and external parties (including ceding companies and other clients).

Qualifications

• Position: Claim Analyst (Medical Background)
• Minimum education: Bachelor’s Degree (S1) in Medicine.
• Strong medical knowledge, including:

 * Medical terminology

 * Medical diagnoses and procedures

 * Relevant medical coding systems

• Good understanding of life insurance claim processes, including:

 * Claim submission

 * Claim review and resolution

 * Policy provisions and applicable regulations

• Minimum 2 (two) years of working experience, preferably in insurance claims, life insurance, or related fields.
• Proven ability to analyze and resolve complex claim cases effectively using data-driven approaches.
• Strong communication and negotiation skills, including coordination with ceding companies, retrocession partners, and other external parties.
• Ability to build and maintain good working relationships with both internal and external stakeholders.
• Proficient in Microsoft Office (Word, Excel, and PowerPoint).
• Active English proficiency, both written and spoken.
• Strong analytical skills, detail-oriented, and capable of making accurate decisions.
• Maximum age 35 years.

• Final-year student in Mathematics, Engineering, or related field
• Strong analytical and problem-solving skills
• Excellent communication and negotiation abilities
• Proficient in Microsoft Office (Excel, Word)
• Able to commit for at least [e.g., 6 months]

• Real-world exposure to insurance claims
• Opportunities to grow in the insurance industry
• Mentorship and career guidance
• Professional work environment

• Final-year student in Mathematics, Statistics or related field
• Proficient in Microsoft Excel is a plus
• Detail-oriented with strong analytical thinking
• Eager to learn, proactive, and a team player
• Able to commit for at least [e.g., 6 months]

• Hands-on experience with real business data
• Opportunities to grow in the insurance industry
• Mentorship and career guidance
• Professional work environment