Case Monitoring - CC/CMT

Case Monitoring (CMT) MedilinkWe 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.ResponsibilitiesProvide expert medical advice and consultation to internal teams and external clients.Conduct comprehensive reviews and analyses of medical data, claims, and utilization patterns.Collaborate with healthcare providers to ensure appropriate care delivery and utilization management.Develop and deliver educational materials and presentations on medical and healthcare topics.Assist in the evaluation and selection of healthcare networks and providers.QualificationsReady to ShiftingBachelor’s degree in Nursing, Pharmacy, Public Health, or other healthcare-related fields (medical background preferred).Strong understanding of healthcare and insurance claims processes, with experience in claims management or case monitoring.Excellent analytical and problem-solving skills, especially in resolving claim disputes.Effective communication and collaboration skills for working with internal teams and external healthcare providers.High attention to detail, professionalism, and ability to manage multiple cases under tight deadlines.About MEDILINK DIGITAL MEDIKAPT 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 MEDIKAInstagram,Twitter,Facebook @medilink_id