| 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 | 19 Aug 2021
This study aims to determine the effect of gross premium income of fire insurance and
gross claims of fire insurance coverage to the gross underwriting of fire insurance.
Research conducted on insur...
Admin | 05 Aug 2021
Penelitian ini bertujuan untuk menganalisis hubungan antara komisi agen dan biaya
promosi dengan pendapatan premi. Penelitian dilakukan pada perusahaan asuransi PT.
Asuransi Umum Videi. Metode yang...
Admin | 25 Aug 2021
The primary objectives of this thesis is to learn whether the Altman Z – Score
model and the Springate model can be used to predict an insurance company’s
financial distress and the difference betwe...
Admin | 24 Aug 2021
Repository Admin | 19 Aug 2021
Admin | 23 Aug 2021
penelitian ini berjudul "Implementasi Manajemen Hubungan Pelanggan di PT Asuransi
Central Asia Cabang Latumenten". Penelitian ini bertujuan untuk mendeskripsikan
pihak - pihak yang terkait dalam pel...
Repository Admin | 26 Aug 2021
Reinsurance has always been one of the method for the insurance company to prevent them suffering catastrophically due to big loss. Therefore Reinsurance is such a crucial thing for insurance company....
Admin | 30 Aug 2021
Claims Management is the important part in the insurance business. Guarantee
the accuracy of the claim is not only appropriate but also appropriate in the
settlement of claims. Most of the claims ca...
Admin | 24 Aug 2021
The growth of automotive industry continues to increase over the last few
years, especially in Indonesia and is a good prospect for the insurance industry in
the motor vehicle motor vehicle insuranc...
Repository Admin | 25 Aug 2021
Hajj is one of the pillars of islam and become a great religious
phenomenon every year. More than 165.000 indonesian hajj pilgrims every year. PT Asuransi Jiwa Syariah Amanahjiwa Giri Artha hereinaft...
Repository Admin | 31 Aug 2021
As a company engaged in risk transfer services, insurance receive a variety of risks that are transferred from the insured. one of the risks that could be transferred to the insurance is risk of fire....
Admin | 23 Jun 2021
The background of this research is to find out the process of claiming for
educational scholarship partner products in the branch office of AJB
BUMIPUTERA 1912 Explained by the claims section, in ad...
Repository Admin | 04 Aug 2021
Penelitian ini bertujuan untuk mengetahui hubungan premi agen dan premi direct selling dengan pendapatan premi. Penelitian ini menggunakan variabel independen yaitu premi agen dan premi direct selling...
Admin | 05 Aug 2021
Research based on the type of problem under study, the authors classify into types of survey research that takes a sumple from a population and use the data value of training and cmployee performance...
Putri Melati Kresna Dewi | 14 Jun 2021
PT Asuransi BRI Life is a professional insurance business company that provides
excellent service to customers.
The recruitment process at PT Asuransi BRI Life is essential to obtain a good
salespe...
Admin | 16 Aug 2021
PT Reasuransi Nasional Indonesia is a reinsurance company engaged in general
reinsurance. This research discusses whether premium income, commissions and
claims can influence Underwriting Result. Th...
Repository Admin | 17 Jun 2021
Someone who follows life insurance, there is a possibility that he will not continue his contract for various reasons. Some people stop it because they feel they no longer need it, so it is no longer...
Repository Admin | 17 Jun 2021
The marketing department in the insurance company is the spearhead of the insurance company itself in developing its business. Business development ean be done by expanding relationships and also eros...
Repository Admin | 26 Aug 2021
Reinsurance has always been one of the method for the insurance company to prevent them suffering catastrophically due to big loss. Therefore Reinsurance is such a crucial thing for insurance company....
Repository Admin | 31 Aug 2021
Based on the Author thesis entitled “Perceptions of Prodi intern student D3 stma trisakti about tasks underwriter in accordance with the area of insurance SKKNI”, the Author try to describe about perc...