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Analisis Peran Medikolegal dalam Proses Penanganan Klaim Asuransi Tanggung Gugat Profesi Dokter di PT. Asuransi Umum Bumiputera Muda 1967

Wisty Atika Virginia

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Title Analisis Peran Medikolegal dalam Proses Penanganan Klaim Asuransi Tanggung Gugat Profesi Dokter di PT. Asuransi Umum Bumiputera Muda 1967
Author Wisty Atika Virginia
Date Issued 08/15/2017
Subject Klaim, Asuransi Tanggung Gugat
Abstract The purpose of this study to describe the handling of claims handling procedures, describing medikolegal role in the process of handling claims, to determine the effectiveness of the procedure or the effectiveness of the role of Claims Handling Professional Liability Insurance in PT. Bumiputera Muda 1967 Insurance. The data used for this study using interviews and other supporting documents relating to Professional Liability Insurance. conclusions of this study are in PT. Bumiputera Muda 1967 Insurance should hold PT. Arah Bangsa Hebat because in there are expert doctors and lawyers that can help solve the case of professional liability insurance claims. There are three crucial role in the settlement of insurance claims medicolegal liability medical profession. There are three crucial role medicolegal in the settlement of professional insurance liability claims. Determining the status of a claim, the acceleration time claims handling, and the determination of the value of the claim. Claims settlement procedures of insurance liability medical profession has been able to run effectively and efficiently It is characterized by the incoming file claims generally can be defined its status within one day, far below the procedures specified in the SOP that is seven days, Settlement claims can generally be resolved through negotiations, with a completion time of at least three months. Determining the value of a claim by a third party (patient) can be negotiated well with the average value of claims fell 10-30%. Advice from the author claims liability insurance medical profession should consist of experts in the law and other related professions such as doctors, Accounting, and other professions. for further research in professional insurance liability, it is better done similar research but with different professions such as bankers and accountants. The will find out whether the team the settlement of insurance claims liability that field has been running effectively and efficiently, which in turn can be determined whether the required third parties to assist settlement of claims as well as the role that has been shown by the team medikolegal on professional insurance liability. Keywords: professional liability insurance, medicolegal, claims handling

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PROSES PENGOLAHAN DOKUMEN PENEMPATAN REASURANSI FACULTATIVE PT ASURANSI TOKIO MARINE INDONESIA

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...

PENGARUH PENDAPATAN KONTRIBUSI, HASIL INVESTASI DAN BEBAN OPERASIONAL TERHADAP LABA BERSIH DANA PERUSAHAAN (DANA UJRAH) PADA PT TUGU PRATAMA INDONESIA UNIT SYARIAH

Admin | 30 Jun 2021
This study looks for the influence of revenue contribution, investmen treturns and operating expenses no Ujrah's net income. The research was conducted in PT Tugu Pratama Indonesia asyariah unit. This...

HUBUNGAN PERSEPSI DENGAN MINAT MASYARAKAT UMAT KRISTIANI UNTUK BERASURANSI SYARIAH DI RW 07 KELURAHAN KAYU PUTIH JAKARTA TIMUR

Repository Admin | 30 Jun 2021
Skripsi ini yang membahas tentang "Hubungan Persepsi dengan Minat masyarakat Umat Kristiani untuk berasuransi Syariah di RW 07 Kelurahan Kayu Putih ini merupakan hasil penelitian yang memiliki tujuan...

STUDI AKSEPTASI ASURANSI KENDARAAN BERMOTOR DI PT ASURANSI PAROLAMAS DI TINJAU DARI PROSES UNDERWRITING DAN KLAIM SERTA TINGGINYA RASIO KLAIM

Repository Admin | 09 Sep 2021
This thesis title is “Studi Akseptasi Asuransi Kendaraan Bermotor Ditinjau Dari Proses Akseptasi dan Klaim Serta Tingginya Rasio Klaim”. This study purpose to find out about the claims settlement proc...

ANALISIS PERBANDINGAN TABEL MORTALITA TERHADAP TARIP PREMI ASURANSI JIWA KREDIT

Admin | 03 Aug 2021
Tujuan dari penelitian ini adalah untuk mengetahui perbedaan tarip premi produk Asuransi Jiwa Kredit berdasarkan Tabel Mortalitas CSO 80 dan Tabel Mortalitas CSO 80 yang telah dimodifikasi oleh AJB B...

PENGARUH BIAYA KLAIM BRUTO DAN BIAYA AKUISISI TERHADAP PREMI BRUTO LINI BISNIS CONTRACTORS’ ALL RISK PERIODE TAHUN 2012- 2017 PADA PT ASURANSI PURNA ARTHANUGRAHA (ASPAN)

Admin | 05 Aug 2021
Penelitian ini bertujuan untuk mengetahui adakah pengaruh dan seberapa besar pengaruh variabel Biaya Klaim Bruto dan Biaya Akuisisi terhadap penentuan premi bruto pada lini bisnis Asuransi konstruksi....

PROSES PENUTUPAN ERECTION ALL RISKS INSURANCE DI PT ASURANSI TUGU KRESNA PRATAMA

Repository Admin | 16 Jun 2021
Erection All Risks is an insurance that guarantees all risks of loss or damage that occurs in the process of installing or instalation machines (except for a few risks listed in the exception). In thi...