ANALISIS KLAIM PASIEN COVID-19 PADA PRODUK MiSMART HEALTH CARE SYARIAH MANULIFE INDONESIA

Ownership of insurance is considered to be able to provide easier treatment and faster handling if infected with Covid-19 and protection of financial risks for the community. However, many people do not understand the system for implementing Covid-19 protection claims. The purpose of this study was...

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Main Author: ANNISYA NURIVA HANDAYANI, (Author)
Format: Book
Published: 2022-06-27.
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Summary:Ownership of insurance is considered to be able to provide easier treatment and faster handling if infected with Covid-19 and protection of financial risks for the community. However, many people do not understand the system for implementing Covid-19 protection claims. The purpose of this study was to analyze how the process of submitting and paying claims for Covid-19 patients from Manulife Indonesia's MiSmart Health Care Syariah products was reviewed based on Islamic law Fatwa No.21/DSN-MUI/X/2001 and POJK No.69/POJK.05/2016 . The method used in this study is a descriptive qualitative method with a case study type. Data collection techniques used are interviews, observation, and documentation. The data validity technique used triangulation and the data analysis technique used data reduction, data presentation, and drawing conclusions. The results of this study can be concluded that there are 4 stages of MiSmart Health Care Syariah product claims, namely notification, document evidence, investigation, and payment of claims. The implementation of Covid-19 patient claims on MiSmart Health Care Syariah products is also in accordance with Fatwa No.21/DSN-MUI/X/2001, namely Claims are paid according to the amount agreed at the beginning of the contract, Manulife Indonesia pays claims according to the premium amount, Manulife Indonesia is located as a fund manager (mudharib) for premiums paid by insurance participants while the customer is the owner of the money (shohibul mal) and fulfills its obligations by approving every claim submitted by the customer in accordance with the provisions of the policy, while according to POJK No.69/POJK.05 /2016, namely Manulife Indonesia makes payment of claims for Covid-19 patients in no more than 14 days, in collaboration with Admedika as an assessor and investigation of claims administration, submission of proof of claim documents in accordance with existing regulations and payment of claims will be made by the finance department of Manulife Indonesia.
Item Description:http://repository.upnvj.ac.id/18866/1/Abstrak.pdf
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