Suryani Khodijah

Claim Admin at PT. Asuransi Harta Aman Pratama, Tbk (2017 – 2021)

Receieved notification of loss from Insured, Broker, Agent for Claim Motor Vehicle.
Follow up claims with request claim documents from Insured, Broker, Agent.
Input claim documents from Insured, Broker, Agent to Merimen system.
Monitor list incoming claim in Merimen system.
Arrange survey schedules for surveyors and ensure that all surveys can be surveyed according to the specified schedule.
Analyze and validation of claims (check policy with complete of documents, etc)
Claim Registration in CARE system & Merimen system.
Monitor Claim Registration with status KIV (keep in view) pending temporary claims. example: Premi OS, data differs between policies and claim documents, etc.
Handling complaints from Insured, Broker, Agent, etc.
Monitor and follow up claim progress.
Input invoice payment to CARE system and process.
Send notification of loss to reinsurance panel, issue and check the PLA before send to reinsurance panel.
Checking update case claim, issue and check the DLA before send to reinsurance panel.
Monitor claims with reinsurance panel and update progress of claims Fac and XOL.
Administration, filling claim documents & follow up recovery by reinsurance.
Create and send a letter declined claim

Kasie Claim Admin at PT. Asuransi Harta Aman Pratama, Tbk (2021 – 2026)

Coordinate the admin section (Frontdesk and Inputting Invoice Payments).
Approval for claim payments in the CARE system with a value of ≤ IDR 30 million.
Recap data approval that will be submitted to finance for payment.
Send notification of loss to reinsurance panel, issue and check the PLA before send to reinsurance panel.
Checking update case claim, issue and check the DLA before send to reinsurance panel.
Monitor claims with reinsurance panel and update progress of claims Fac and XOL.
Administration, filling claim documents & follow up recovery by reinsurance.
Send notification of loss to coins panel, issue and check the PLA before send to coins panel. Checking update case claim, issue and check the DLA before send to coins panel.
Monitor claims with coins panel and update progress of coins claims.
Follow up claims with request claim documents from member panel coins.
Administration, filling claim documents & follow up recovery by coins.
Review claim outstanding repairers, suppliers, etc.
Request list of outstanding from repairers and suppliers at the end of each year.
Create and send a warning letter for repairer (indication fraud).
Checking the detailed transaction data usage of the Merimen system.
Checking bill Merimen of the SPK & Notification SPK by SMS.
Monitoring admin section (Frontdesk and Inputting Invoice Payments).
Analyze claim process to comply with SLA

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