| Title | ANALISIS PENYEBAB PENOLAKAN KLAIM REIMBURSEMENT PADA PROGRAM ASURANSI KESEHATAN KUMPULAN PT ASURANSI RELIANCE INDONESIA TAHUN 2011 |
|---|---|
| Author | Romdaniyah |
| 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 |
Admin | 01 Jul 2021
Penelitian ini dilakukan untuk mencari tahu hubungan antara Underwriting Ratio dan Loss Ratio terhadap Risk. Based Capilal pada PT. Asuransi Jasa Tania Tbk. Data sekunder diperoleh dari laporan keuang...
Repository Admin | 01 Apr 2021
Penelitian ini bertujuan untuk mengetahui pengaruh lingkungan kerja dan komunikasi terhadap kinerja underwriter di PT Asuransi Cakrawala Proteksi. Populasi dalam penelitian ini adalah karyawan bagian...
Repository Admin | 06 Sep 2021
Kegiatan Pengabdian kepada Masyarakat (PKM) yang dilaksanakan pada
tanggal 5 Juni 2021 ini, didasarkan pada masalah lingkungan yang sudah melanda
Bumi kita saat ini , yaitu terjadinya peningkatan...
Repository Admin | 14 Jun 2021
Penelitian ini bertujuan untuk mengetahui pengaruh pendapatan premi neto
asuransi kebakaran dan beban klaim neto asuransi kebakaran terhadap hasil
underwriting asuransi kebakaran. Penelitian dilakuk...
Repository Admin | 30 Jun 2021
Penelitian ini dilakukan dengan tujuan untuk mengetahui pengaruh pendapatan
premi neto, beban klaim neto dan hasil investasi terhadap nilai aset perusahaan
asuransi jiwa tahun 2013–2017. Data sekund...
Admin | 30 Jun 2021
This study aimed to determine wether motivation, perception, and attitude
simultaneously affected to intention of buying for life’s insurance product, Population
in this research are people at Perum...
Repository Admin | 01 Apr 2021
Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan merupakan badan hukum yang dibentuk untuk menyelenggarakan program Jaminan Kesehatan Nasional dengan tujuan memproteksi seluruh masyarakat. Fasilita...
Putri Melati Kresna Dewi | 15 Jun 2021
If an insurance company wants to increase premium production and profit growth, the thing to do is to determine the right marketing strategy according to the character of the business dan the selectio...
Repository Admin | 30 Jun 2021
This thesis is about insurance brokers function and quality service
performance of Visi Bersama Serantau , PT and that influence for their client. This
thesis researches to find out if any significa...
Repository Admin | 01 Apr 2021
Repository Admin | 25 Aug 2022
The purpose of this research is to create a suitable form of English standardized test for STMA Trisakti. The research methodology used is that of qualitative held by
comparing and confirming some ty...
Administrator | 03 Mar 2021
Repository Admin | 25 Aug 2022
Computer Vision Syndrome merupakan suatu gejala penyakit yang menyerang indera pengelihatan manusia, dan gejala ini baru ditemukan (waktu) 15 tahun terakhir. Gejala ini timbul sebagai dampaik dari per...
Repository Admin | 01 Sep 2021
This research is a way to ilustrate a general picture of a teaching achievement of a lesson. The purpose of this research is to find out The Ability of STMA Trisakti Students’ General Engish Conversat...
Repository Admin | 02 Sep 2021
Repository Admin | 13 May 2022
Dengan rahmat Tuhan Yang Maha Esa, akhirnya penyusunan laporan Pemgabdian kepada Masyarakat ini yang berjudul : Pelatihan Analisis SWOT dan RoadMap SMKN 11 Bandung dan SMK Wahidin Cirebon dapat disele...
Repository Admin | 13 May 2022
Admin | 24 Jun 2021
This study aimed to find out the influence of claim burden and inflation rate to claim
reserve of property insurance in general insurance companies in Indonesia.
Population in this study is annual f...
Admin | 05 Aug 2021
Penelitian ini berjudul Pengaruh Pengetahuan dan Persepsi Mahasiswa Angkatan 2015-2016 terhadap Minat Memilih Konsentrasi Aktuaria di Sekolah Tinggi Manajemen Asuransi Trisakti, penelitian ini bertuju...
Repository Admin | 15 Jun 2021
Insurance company will provide an assurance of protection against the risk guaranteed in the property all risks Insurance policy. However, insurance company also have their own retention or risks for...