Claims Excellent and Provider Manager - #78224

PT FWD Insurance Indonesia (“FWD Insurance”), a joint-venture insurance company and a part of FWD Group, previously known as PT Commonwealth Life, has successfully merged with PT FWD Life Indonesia (“FWD Life”) as of 1 December 2020 and will be known as FWD Insurance.

The merger of FWD Life and FWD Insurance has led to a more comprehensive range of products, including unit-linked insurance, individual & group term life insurance, individual & group personal accident insurance, and group medical insurance through technology driven-distributions such as agency, bancassurance, e-commerce, and corporate.

FWD Insurance is registered and supervised under Otoritas Jasa Keuangan (“OJK”).

FWD Insurance is a member of Indonesia Financial Services Alternative Dispute Resolution Center.

Claims Excellent and Provider Manager will be responsible to manage end to end Claim analyst, provider management and investigation process within SOP, code of conduct, and company’s guidelines with the objective to ensure revenue target achievement in supporting company’s business goals.

This person accountable to:

• Make sure claim managements and provider operations meet SLA and deliver good quality of performance. Also, to monitor and enhance any potential areas.
• Make sure all process of agreement, administration and SLA agreed with Providers and TPAs deliver and meet service deliveries KPI.
• Make sure each goal set for claim projects launched are achieved as expected and monitor timeline and communicate any potential issues to management.
• Supervises, coaches and reviews performance of claim’s department human resources, enhances their technical and managerial skills, reviews individual potential and succession planning in order to ensure availability of competent human resources and increase department performance.