Case Monitoring - CC/CMT

Case Monitoring/Call Center Medilink

We are actively developing Southeast Asia's top TPA, which makes it easier for consumers to obtain insurance. To achieve our objectives, we therefore require talent with great potential, like you, to join our expanding organization, acquire the necessary skills, and also form outstanding teams.

Responsibilities

• Handle incoming calls related to outpatient, inpatient, emergency, and guarantee requests.
• Verify member identity, eligibility, and benefits according to policy coverage.
• Coordinate with hospitals/providers to obtain updates on patient conditions, medical actions, and guarantee status.
• Record, monitor, and update the progress of each case in the Case Management System in real time.
• Provide clear and accurate information to members, providers, and internal teams regarding case status.
• Identify potential issues during service delivery and escalate to the medical team or responsible unit when needed.
• Ensure service quality, data accuracy, and compliance with SLA standards.

Qualifications

• Willing to be placed and work on-site in Depok.
• Prior experience in call center, customer service, or healthcare/insurance is an advantage.
• Good communication skills (verbal and written).
• Able to work under pressure and handle highvolume calls.
• Detail-oriented with strong data recording and follow-up skills.
• Familiar with basic computer skills and case management systems.

About MEDILINK DIGITAL MEDIKA

PT Medilink Digital Medika has established a strategic and technological collaboration with Medilink-Global Asia Pte Ltd. Through this collaboration, the company shall enjoy the exclusive rights of use of the bespoke Electronic Claims Clearing System (ECCS 5.0), a time-tested and proven solutions which have been implemented successfully and are functioning effectively at insurance companies and TPAs in several countries. The collaboration also allows the company to gain immediate access to Medilink-Global's international network of health care providers.

Our vision is to be the Preferred Employee Benefit And Health Insurance Management Portal in Indonesia, offering anytime-anywhere Medical Claims Management Tools that connect the Payors, Healthcare Providers and Members.

Our mission is we provide connected Digital Solution for Insurance Companies and Corporates. Enabling them to offer their Members Seamless Access to Quality & Equitable Healthcare at Domestic and Regional Health Facilities.

Medilink is committed not only to make insurance easily available for everyone but also to spread awareness about the importance of having financial plans and protection through insurance.

More About MEDILINK DIGITAL MEDIKA

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