| 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 |
Repository Admin | 23 Jan 2024
Laporan Magang ini dibuat sebagai salah satu syarat kelulusan pada mata kuliah magang profesi di semester 7 Sekolah Tinggi Manajemen Asuransi Trisakti dengan program studi S1 Aktuaria. Selain sebagai...
Repository Admin | 18 Dec 2023
Beberapa penelitian telah menemukan bahwa ada pengaruh yang signifikan komponen utama struktur modal terhadap leverage perusahaan dan profitabilitas perusahaan. Kajian-kajian yang dilakukan umumnya ha...
Admin | 28 Sep 2021
Understanding of consumer behaviour is absolutely necessarry especially
at insurance world that is so rapidly and quickly create higher intensity of
competition, ad it became important for makerkete...
Repository Admin | 23 Jan 2024
Penulisan laporan ini dibuat sebagai pemenuhan persyaratan kelulusan mata kuliah magang profesi pada program studi aktuaria di Sekolah Tinggi Manajemen Asuransi (STMA) Trisakti. Kegiatan magang bertuj...
Admin | 21 Jun 2021
Monitoring is an activity aimed at providing information about the causes and consequences of a policy that is being implemented. Monitoring is the last function that must be carried out in management...
Admin | 06 Sep 2021
The objectives of this research is to determine the effect of service quality of PT.
XYZ Insurance towards customer satisfaction who filed personal accident claims
and to measure how much influence...
Repository Admin | 08 Jan 2024
Penulisan laporan ini dibuat sebagai salah satu syarat kelulusan mata kuliah magang
profesi yang ada pada semester 7 ini. Magang ini bertujuan untuk menambah pengalaman serta
mempersiapkan diri da...
Admin | 14 Oct 2021
This study aims to analyze the cause of the rejection of claims reimbursement Reliance Insurance Indonesia Company in 2011. To get the analysis of the cause of rejection of the writer tries to make a...
Currently there are no data to be displayed!