| 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 |
Repository Admin | 23 Jun 2021
"Protection of low income people are required in risk management efforts. For example : the protection afforded to rice farmers through a miero insurance such as weather index insurance to protected t...
Repository Admin | 16 Jun 2021
Surety Bond is an innovative product that is offered by the insurance company as a takeover attempt the potential risk of loss that may be experienced by one of the parties, generally the owner of the...
Repository Admin | 24 Jun 2021
PT Asuransi Central Asia Divisi Syariah merupakan perusahaan yang begerak di
bidang asuransi kerugian yang didirikan sejak tahu 2004. Broker merupakan salah
satu saluran distribusi yang dipilih dan...
Repository Admin | 02 Sep 2021
Administrator | 19 Mar 2021
AMELIA SAPTYARANI, Analisis Biplot Untuk Return On Asset Dan Return On Equity Pada Perusahaan Asuransi Jiwa Nasional.
Dibimbing oleh Ibu Fanny Novika, M.Si dan Bapak I Nyoman Winata, S.E,M.M.
Anal...
Admin | 12 Aug 2021
Penelitian ini bertujuan untuk melihat hubungan belief dan keterpaan informasi
dengan nasabah existing pada produk asuransi surety bond. Variable independen
dalam penelitian ini adalah belief dan ke...
Repository Admin | 06 Sep 2021
Repository Admin | 14 Jun 2021
Tujuan dari penelitian ini untuk menganalisis kinerja fund unit link
khususnya yang memiliki portfolio saham dengan menggunakan metode Sharpe
Ratio, Treynor Ratio, dan Information Ratio. Periode pen...
Admin | 01 Jul 2021
Penelitian ini bertujuan untuk mengetahui pengaruh aset, pendapatan premi bruto dan beban usaha terhadap laba usaha. Penelitian dilakukan terhadap perusahaan reasuransi PT. Reasuransi Nasional Indones...
Putri Melati Kresna Dewi | 16 Jun 2021
The background of this research is to find out the importance of analyzing the process of receiving SPAJ on Buncassurance Units at PT Tokio Marine Life Insurance Indonesia. As we know, even though the...
Admin | 10 Aug 2021
Penelitian ini bertujuan untuk mengetahui pengaruh pendapatan premi
dan biaya komisi terhadap laba bersih pada 8 perusahaan asuransi yang tercatat
di bursa efek Indonesia periode 2011-2017. Metode y...
Repository Admin | 17 Jun 2021
The work practices report discusses the marketing process of property insurance products in PT Asuransi Central Asia branch of Duta Merlin that's ASRI (Asuransi Rumah ldaman). Marketing process is the...
Repository Admin | 04 Aug 2021
Penelitian ini dilakukan dengan tujuan untuk mengetahui pengaruh aset, liabilitas dan hasil underwriting terhadap tingkat solvabilitas perusahaan asuransi umum dari tahun 2013- 2017. Data yang digunak...
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...
Admin | 10 Aug 2021
Penelitian ini dilakukan untuk mencari tahu hubungan antara Pendapatan Premi Neto dan Hasil Investasi terhadap Laba Bersih PT Asuransi Ramayana Tbk. Data sekunder diperoleh dari laporan keuangan perus...
Admin | 23 Aug 2021
Repository Admin | 24 Jun 2021
This thesis aims to (1) analyze the effect of premium revenue and claim expenses against the income of PT Asuransi BRIngin Life Sharia (2) determine the influence of premium income and claims expenses...
Repository Admin | 24 Jun 2021
Penelitian ini bertujuan untuk mengetahui hubungan kualitas pelayanan dengan loyalitas konsumen, mengetahui hubungan citra perusahaan dengan loyalitas konsumen, mengetahui hubungan antara kualitas pel...
Admin | 03 Aug 2021
This thesis examines the effect of service quality and premium of claims on Client
satisfaction on BPJS Kesehatan in the first Health Facility of BPJS Kesehatan This
research was conducted on third...
Repository Admin | 03 Aug 2021
Penelitian ini bertujuan untuk mengetahui pengaruh Pendapatan Premi bruto dan Cadangan Teknis terhadap Laba Bersih. Penelitian ini dilakukan terhadap perusahaan reasuransi PT. Reasuransi Indonesia Uta...