| Title | ANALISIS PENYEBAB PENOLAKAN KLAIM REIMBURSEMENT PADA PROGRAM ASURANSI KESEHATAN KUMPULAN PT ASURANSI RELIANCE INDONESIA TAHUN 2011 |
|---|---|
| Author | Romdaniyah |
| Date Issued | 10/23/2012 |
| Subject | PENOLAKAN KLAIM, REIMBURSEMENT, ASURANSI KESEHATAN KUMPULAN |
| Abstract | 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 qualitative descriptive study using secondary data from the system database Claims Department with research sample is all file reimbursement claims were denied payment. The results showed that the amount of reimbursement claim denials reached 11.65% of the total claims received by administrative staff Reliance Insurance Indonesia for 5388 and rejected the file with an increasing trend from 9.60% in January to 16.20% in December 2011. There are several things that cause rejection of reimbursement claims, which were the exception / exclusion, fraud, and the over limit and the provisions of the policy. From the results of the study, concluded that the denial of claims due to the biggest reimbursement over limit that is equal to 48.83% of the total rejection of claims reimbursement. In the second claim denials due to the public policy exception, amounting to 29.91% of the total rejection of claims reimbursement. Furthermore, for the third order is a denial of a claim arising from fraud as much as 18.35% of the total rejection of claims reimbursement. And the fourth is caused by the provisions of the policy as much as 2.91% of the total rejection of claims reimbursement. From the description above, in order to reduce the rejection of reimbursement claims are rejected is conducting ongoing socialization of each company to the understanding of health insurance products collection Reliance Insurance Indonesia Company and claim procedures to be followed to the participants of the contract / policy should be made clear and understood by all parties that the participants really understood about the condition of the policy. Kata kunci : Penolakan Klaim, Reimbursement |
| Name : | BAB I.pdf | Format : | Please Sign in to download file | |
|---|---|---|---|---|
| Size : | 0.17 MB | Description : | Bab 1 |
| Name : | BAB II.pdf | Format : | Please Sign in to download file | |
|---|---|---|---|---|
| Size : | 0.37 MB | Description : | Bab 2 |
| Name : | BAB III.pdf | Format : | Please Sign in to download file | |
|---|---|---|---|---|
| Size : | 0.32 MB | Description : | Bab 3 |
| Name : | BAB IV.pdf | Format : | Please Sign in to download file | |
|---|---|---|---|---|
| Size : | 0.14 MB | Description : | Bab 4 |
| Name : | BAB V.pdf | Format : | Please Sign in to download file | |
|---|---|---|---|---|
| Size : | 0.30 MB | Description : | Bab 5 |
| Name : | BAB VI.pdf | Format : | Please Sign in to download file | |
|---|---|---|---|---|
| Size : | 0.12 MB | Description : | Bab 6 |
| Name : | DAFTAR PUSTAKA.pdf | Format : | Please Sign in to download file | |
|---|---|---|---|---|
| Size : | 0.11 MB | Description : | Daftar Pustaka |
| Name : | COVER.pdf | Format : | Please Sign in to download file | |
|---|---|---|---|---|
| Size : | 0.25 MB | Description : | Judul |
Repository Admin | 22 Apr 2021
Administrator | 04 Mar 2021
This study aims to determine and test for the influence of understanding, income levels and community perception about the potential for fires in densely populated areas to interest in buying fire ins...
Repository Admin | 23 Mar 2021
Penelitian ini bertujuan untuk mengetahui pengaruh motivasi dan pengetahuan terhadap sikap masyarakat dalam pembelian produk asuransi jiwa Syariah di lingkungan RW 13 Desa Cihideung Udik Bogor. Sampel...
Repository Admin | 01 Apr 2021
Penelitian ini bertujuan untuk mengetahui pengaruh hasil underwriting dan hasil investasi terhadap laba rugi usaha. Penelitian dilakukan terhadap perusahaan asuransi umum PT. Bosowa Asuransi periode 2...
Repository Admin | 22 Apr 2021
Administrator | 09 Mar 2021
Asuransi Mikro merupakan produk yang ditujukan kepada masyarakat berpenghasilan rendah khususnya pelaku UMKM sebagai mekanisme perlindungan atas risiko keuangan yang dihadapi. Pelaku UMKM rentan sekal...
Administrator | 12 Mar 2021
Penelitian ini bertujuan untuk mengetahui dan menguji adanya pengaruh dari Tingkat Pendapatan dan Persepsi Jemaat GBI SOHO Pancoran terhadap Minat Beli Produk Asuransi Kendaraan Bermotor. Penelitian i...
Repository Admin | 23 Mar 2021
Asuransi Usaha Tani merupakan produk asuransi yang belum banyak dikenal di Indonesia, khususnya kalangan para petani padi. Program Asuransi Usaha Tani ini diharapkan bisa menjadi solusi bagi risiko-ri...
Repository Admin | 01 Apr 2021
Repository Admin | 01 Apr 2021
In general insurance, the process of insurance closing through insurance brokers is as follows. Insurance companies will get quotation slip from brokers via email. Then the underwriter at the insuranc...
Administrator | 04 Mar 2021
This study aims to determine and test for the influence of understanding, income levels and community perception about the potential for fires in densely populated areas to interest in buying fire ins...
Administrator | 12 Mar 2021
Penelitian ini bertujuan untuk mengetahui dan menguji adanya pengaruh dari Tingkat Pendapatan dan Persepsi Jemaat GBI SOHO Pancoran terhadap Minat Beli Produk Asuransi Kendaraan Bermotor. Penelitian i...
Repository Admin | 25 Jan 2023
Dengan melaksanakan Pogram magang “Internship Challenge” yang diadakan oleh Badan Pusat Statistik Provinsi DKI Jakarta yang kemudian di tempatkan kembali di Badan Pusat Statistik Kota Jakarta Timur, p...
Repository Admin | 02 Mar 2021
This paper was concerning with the dimension reduction over data with two multivariable sets of variables. We examined the robustness of four schemes of variable reduction with respect to the degree o...
Repository Admin | 02 Mar 2021
Outlier is an object that has unique characteristics compared with other objects. Detection of outlier needs to be
performed in order to avoid errors in decision-making related to data. Another reaso...
Administrator | 17 Mar 2021
FIRDHA LINTANG KIRANA. Pelaksanaan Prinsip Utmost Good Faith Dengan Menggunakan Proses Model Keputusan Pembelian Konsumen Pada Penutupan Asuransi Kendaraan Bermotor. Dibimbing oleh Drs. Agus Subrata,...
Repository Admin | 02 Mar 2021
Repository Admin | 01 Apr 2021
Penelitian ini bertujuan untuk mengetahui pengaruh kualitas pelayanan dan kecepatan konfirmasi akseptasi treaty terhadap kepuasan pelanggan. Penelitian dilakukan pada perusahaan reasuransi PT. Reasura...
Repository Admin | 24 Feb 2023
Repository Admin | 23 Mar 2021
Penelitian ini bertujuan untuk mengetahui pengaruh motivasi dan pengetahuan terhadap sikap masyarakat dalam pembelian produk asuransi jiwa Syariah di lingkungan RW 13 Desa Cihideung Udik Bogor. Sampel...