| Title | ANALISIS PROSES PELAKSANAAN INVESTIGASI FRAUD DALAM PRODUK HOSPITAL CASH PLAN DI PT COMMONWEALTH LIFE |
|---|---|
| Author | Hendrik Herdiana Sutendi |
| Abstract | Fraud has been serious problem in henlth insuramce, this is because it can lead to higher in health insurance premiumms and prolong the claints process. Technological changes und the loopholes in the hospital cash plan insurance products led to the mcreasingly in fratud TEImber und Organized crinie has started to lsecome involved Hospital Cashplan fraud claiins has grown uver the years. Claim anvestigationn has an important role in eracking this fraud. For this reason, an eflective inveytigation model is needed and so that it can reveal fraudulent actions against clainis und conduct early detection as a preventive nieastre in the future, The resenrcher used a desculptive yualitative approach. where researchers conducted gliservalions of the hospital eash jplarn fraid process at PT Commonwealth Life from 2014 2018 and conducted in-depth interviews with several parties relating to the claims process lind its resolution. The current model of claim investigation has been earried out effectively but it is necessary to coordinate with related departments so that in the future this mitigation of fraud ean be comprehensively prevented. Keyword : fraud, hospital cash plan, claim, underwriting |
Repository Admin | 24 Feb 2023
Repository Admin | 15 Dec 2022
Selama menjalani kegiatan magang pada divisi office strategy management, penulis mendapatkan banyak sekali pengalaman dan wawasan baru. Penulis mendapatkan ilmu mengenai strategy management, strategy...
Repository Admin | 16 Jan 2023
Fokus kegiatan yang dilakukan selama magang di Badan Pusat Statistik Kota Jakarta Pusat adalah penginputan data dan pembuatan laporan keuangan. Mendapatkan gambaran tentang lingkungan kerja dan mendap...
Repository Admin | 22 Sep 2022
Sebagian besar masyarakat Indonesia belum sadar risiko dan tidak melakukan mitigasi risiko dengan memiliki perlindungan asuransi. Survei Nasional Literasi Keuangan ketiga yang dilakukan oleh OJK Tahun...
Repository Admin | 17 Jan 2023
1. Magang Profesi yang dilaksanakan penulis bertempat pada PT Asuransi Purna Arthanugraha (Aspan) di Divisi Underwriting.
2. Dalam pelaksanaan magang, penulis melaksanakan beberapa bidang pekerjaan,...
Repository Admin | 25 Jan 2023
1. Kegiatan magang dilaksanakan di PT. China Life Insurance Indonesia dan ditempatkan di divisi Actuary and Product Development selama 6 bulan mulai dari 16 Februari 2022 sampai dengan 15 September 20...
Repository Admin | 02 Sep 2021
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...
Repository Admin | 15 Dec 2022
Kuliah Kerja Magang merupakan salah satu syarat pemenuh SKS semester tujuh program study S1 Aktuaria di Sekolah Tinggi Manajemen Asuransi Trisakti. Kegiatan Magang sangat bermanfaat bagi mahasiswa kar...
Repository Admin | 12 Apr 2023
Statistika sebagai ilmu mengumpulkan data mengalami perkembangan seiring dengan perkembangan zaman. Pada abad ke-17 mulai berkembang statistika deskriptif sejalan dengan perkembangan ilmu peluang. Ilm...
Currently there are no data to be displayed!