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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
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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Admin | 04 Aug 2021
Penelitian ini dilakukan untuk mencari tahu hubungan antara Own Retention Ratio, Loss Ratio, dan Underwriting Ratio dengan Risk Based Capital di 5 perusahaan asuransi yang tercatat di Bursa Efek Ind...

PENGARUH KUALITAS SUMBER DAYA MANUSIA DAN GAYA KEPEMIMPINAN TERHADAP KINERJA KARYAWAN DI PT ASURANSI CENTRAL ASIA

Repository Admin | 09 Aug 2021
Penelitian ini bertujuan untuk menguji secara empiris pengaruh kualitas sumber daya manusia (SDM) dan gaya kepemimpinan terhadap kinerja karyawan. Dalam penelitian ini, peneliti mengkaji kinerja karya...

ANALISIS PROSES KERJA MARKETING AGEN DI PT ASURANSI CENTRAL ASIA CABANG BINTARO

Repository Admin | 15 Jun 2021
Insurance marketing activities is one of the main pillars and so the spearhead in the insurance business both general insurance and life tnsuramce. Level of competition is getting tougher and harder i...