Aetna Claims Administrator in Jakarta, Indonesia
Req ID: 54423BR
Summary/Mission Achieve superior claim and member service performance through an integrated process of operational, quality, medical cost, and resource management meeting and/or exceeding member, plan sponsor, and provider expectations. Position Summary/Mission Receives, sorts and distributes incoming mail; processes and sends outgoing mail according to established procedures. Ensures timely scanning of all incoming claims and other documents into appropriate systems within established turnaround times. Fundamental Components & Physical Requirements include but are not limited to· Processing Incoming Mail - Receives incoming mail, sorts by established schemes (may include date stamping, opening, bundling and/or counting). Routes mail to other offices as necessary. · Scans claims and other documents received and routes these documents in proper work queues · Properly re-indexes the claims in other databases, routes priority items and files the daily scanned documents accordingly · Researches missing and/or insufficient information · Tracks items per customer request · Ensures all documents are scanned within 2 working days · Packs to meet mailing standards. Ships via carrier, which meets customer needs and/or apply appropriate postage (may be by meter) · Prioritizes workload and meets the expectations as per job description · Ensures compliance with requirements of regional compliance authority/industry regulator · Adheres to international privacy policies, practices and procedures Background/Experience Desired Previous experience in office administrative role or in the insurance industry preferable. Education and Certification Requirements High School graduate or equivalent
Job Function: Claim
Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.