Title | Analisis Peran Medikolegal dalam Proses Penanganan Klaim Asuransi Tanggung Gugat Profesi Dokter di PT. Asuransi Umum Bumiputera Muda 1967 |
---|---|
Author | Wisty Atika Virginia |
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 |
Admin | 16 Aug 2021
Penelitian ini bertujuan untuk mengetahui tentang pengaruh kontribusi, klaim dan
hasil investasi terhadap surplus underwriting. Penelitian dilakukan terhadap
perusahaan reasuransi unit syariah PT Re...
Admin | 19 Aug 2021
Repository Admin | 25 Aug 2021
Penelitian ini dilakukan dengan tujuan untuk menganalisis pengaruh pendapatan premi bruto dan beban klaim bruto terhadap hasil underwriting perusahaan reasuransi di Indonesia tahun 2007-2016. Data yan...
Admin | 19 Aug 2021
This research aims to examine the connection corporate image and quality service
motor vehicle insurance to customer satisfaction of PT Asuransi Staco Mandiri main branch
Office Jakarta. The data us...
Admin | 24 Aug 2021
The problem in this research is: How is mapping of products portfolios motor
vehicles sharia by XYZ Insurance using Matrix Boston Consulting Group (BCG).
The purpose of this study is: to analyze map...
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...
Admin | 16 Aug 2021
Penelitian ini bertujuan untuk mengetahui pengaruh premi retrosesi dan klaim
retrosesi terhadap hasil underwriting . Penelitian dilakukan terhadap perusahaan
reasuransi PT. Reasuransi Nasional Indon...
Admin | 24 Aug 2021
Admin | 23 Aug 2021
Pelayanan jasa merupakan salah satu hal yang cukup penting dalam menentukan
kepuasan pelanggan (kata pelanggan disini berarti tertanggung). Layanan yang
baik menjadi salah satu syarat kesuksesan sua...
Repository Admin | 23 Aug 2021
Penelitian ini berjudul Analisis Kinerja Underwriting Asuransi Kesehatan Di Unit Syariah PT Asuransi Bangun Askrida untuk Diterapkan di Kantor Pusat PT Asuransi Askrida Syariah dan dilaksanakan di PT...
Repository Admin | 08 Jan 2024
Indry Berliana Nurhayati, 20144010. Laporan Magang Profesi.
Jakarta : Konsentrasi Aktuaria, Program Studi Ilmu Aktuaria. Sekolah Tinggi Manajemen Asuransi Trisakti, Jakarta 2023.
Pelaksanaan Magang...
Repository Admin | 02 Sep 2021
Good service to customer are the important in the success of an enterprise. With good service , so customer will be satisfied and unfaithful to an enterprise .Ease in the service claim to be one of th...
Admin | 24 Jun 2021
This study aimed to find out the influence of income contribution and investment of
tabarru’ participant fund reserve at syariah AmanahJiwa Giri Artha life insurance
company. The population in this...
Repository Admin | 04 Aug 2021
Penelitian ini dilakukan untuk mencari tahu hubungan antara Faktor Manusia dan Faktor Teknis dengan Risiko Kecelakaan Pesawat Komersial. Data primer diperoleh dari penyebaran kuisioner melalui google...
Admin | 10 Aug 2021
This study is to answered the problem that how much the premium income
and claim as partialy and simultaneously have influence toward underwriting
result.
The purpose of this study is to obtain the...
Admin | 12 Aug 2021
This research is to answer the problem how big influence agent
commission and policy cost to net premium income at PT Bosowa Insurance in
year 2012-2016. The purpose of this study is to obtain empir...
Admin | 16 Aug 2021
This study aims to determine whether there is influence of motor vehicle premium rates
according to Otoritas Jasa Keuangan SE 06 / D.05 / 2013 and quality of service partially
and simultaneously to...
Repository Admin | 23 Aug 2021
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...
Repository Admin | 08 Jan 2024
Penulisan laporan magang ini dibuat sebagai salah satu syarat kelulusan pada mata kuliah magang profesi di semester 7. Selain menambah pengalaman kegiatan magang ini sendiri memiliki tujuan sebagai pe...