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ANALISIS PROSES PELAKSANAAN INVESTIGASI FRAUD DALAM PRODUK HOSPITAL CASH PLAN DI PT COMMONWEALTH LIFE

Hendrik Herdiana Sutendi

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Title ANALISIS PROSES PELAKSANAAN INVESTIGASI FRAUD DALAM PRODUK HOSPITAL CASH PLAN DI PT COMMONWEALTH LIFE
Author Hendrik Herdiana Sutendi
Date Issued 07/24/2019
Subject FRAUD, HOSPITAL CASH PLAN
Abstract Fraud has been serious problem in henlth insuramce, this is because it can lead to higher in health insurance premiumms and prolong the claints process. Technological changes und the loopholes in the hospital cash plan insurance products led to the mcreasingly in fratud TEImber und Organized crinie has started to lsecome involved Hospital Cashplan fraud claiins has grown uver the years. Claim anvestigationn has an important role in eracking this fraud. For this reason, an eflective inveytigation model is needed and so that it can reveal fraudulent actions against clainis und conduct early detection as a preventive nieastre in the future, The resenrcher used a desculptive yualitative approach. where researchers conducted gliservalions of the hospital eash jplarn fraid process at PT Commonwealth Life from 2014 2018 and conducted in-depth interviews with several parties relating to the claims process lind its resolution. The current model of claim investigation has been earried out effectively but it is necessary to coordinate with related departments so that in the future this mitigation of fraud ean be comprehensively prevented. Keyword : fraud, hospital cash plan, claim, underwriting

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PENGARUH TINGKAT PENGETAHUAN DAN TINGKAT KEPERCAYAAN MASYARAKAT DI KOMPLEK PEMADAM KEBAKARAN SEMPER BARAT TERHADAP MINAT BELI ASURANSI KENDARAAN BERMOTOR

Repository Admin | 24 May 2021
Penelitian ini bertujuan untuk mengetahui pengaruh antara tingkat pengetahuan dan tingkat kepercayaan masyarakat terhadap minat beli asuransi kendaraan bermotor. Penelitian ini dilakukan pada salah sa...

ANALISIS PENERAPAN MANAJEMEN RISIKO DALAM PENGELOLAAN ANGKUTAN UMUM RODA TIGA (STUDI KASUS PADA POOL BAJAJ SUNTER, JAKARTA UTARA)

Admin | 23 Aug 2021
The purpose of this study was to determine the existence of the application of risk management in the Bajaj Pool Sunter-North Jakarta. Data analysis method used is interviews through 3 (three) sourc...

PENGARUH KUALITAS PELAYANAN DAN KINERJA KARYAWAN TERHADAP KEPUASAN NASABAH ASURANSI KENDARAAN BERMOTOR DI PT ANDIKA MITRA SEJATI (INSURANCE BROKER)

Repository Admin | 01 Apr 2021
Penelitian ini bertujuan untuk mengetahui pengaruh kualitas pelayanan dan kinerja karyawan terhadap kepuasan nasabah khususnya pada nasabah asuransi kendaraan bermotor di PT Andika Mitra Sejati (Insur...

PROSEDUR PENYELESAIAN KLAIM PARTIAL LOSS LINI BISNIS ASURANSI KENDARAAN BERMOTOR DI PT ASURANSI DAYIN MITRA TBK

Repository Admin | 01 Apr 2021
The report of working practices this provides information about procedures the insurance claims of motor vehicles in Dayin Mitra General Insurance Company. Every insurance company would create a new i...

PENGARUH KEBIJAKAN UNDERWRITING DAN STRATEGI PEMASARAN TERHADAP DAYA SAING PERUSAHAAN MENDAPATKAN BISNIS BROKER DI PT ASURANSI CENTRAL ASIA DIVISI SYARIAH

Repository Admin | 24 Jun 2021
PT Asuransi Central Asia Divisi Syariah merupakan perusahaan yang begerak di bidang asuransi kerugian yang didirikan sejak tahu 2004. Broker merupakan salah satu saluran distribusi yang dipilih dan...

PROSES KLAIM PENEBUSAN POLIS PERORANGAN DI PT ASURANSI JIWASRAYA PERSERO

Administrator | 16 Mar 2021
Redemption is the process of terminating an insurance contract stated in the policy before the end of insurance I maturity I expiration, so that it meets administrative and legal requirements. Redempt...