Detail Article

Administrasi dan Kebijakan Kesehatan

ISSN 1412-8853

Vol. 11 / No. 2 / Published : 2013-05

Order : 3, and page :66 - 70

Related with : Scholar   Yahoo!   Bing

Original Article :

Analysis factors that affect the high claims ratio of work accident insurance program in branch office a and b of pt. jamsostek

Author :

  1. Mahasiswa Pasca Sarjana
  2. Dosen Fakultas Kesehatan Masyarakat

Abstract :

PT. Jamsostek is a social insurance shall be held according to the law, with the aim to provide basic protectionfor people welfare, especially workers and not aim for commercial profit. Work Accident Insurance Program (JKK) isa form of protection provided to workers when injured at work including occupational disease. This research was adescriptive explanation with cross sectional technique design. The samples to be analyzed are branch offices, samplessize taken using judgment sampling method. Selected as the Jamsostek branch office A and Jamsostek branch office Bfor comparison, selected based on the similarity class II category branch office, each of the samples were 32 companieslocated in the region of branch office A and branch office B. Results showed of 5 variables studied can be seen thatcontrol awareness in branch office A lower than branch office B, the possibility of legal hazard in branch office A higherthan branch office B. While the verification variables, 3 points contained in it is only a difference in the cost of verificationof eligibility due to differences in the utilization of rates hospital provider. Benefit package when viewed carefully theamount of disability compensation and reimbursement of expenses functions known drug average cost of claims/casesin branch office A greater than branch office B.

Keyword :

accident insurance program, , claim management,

References :

  1. Churchill, Craig F, Dominic Liber, Michael J. McCord. James Roth., (2003). Mengembangkan Asuransi bagi Lembaga Keuangan Mikro, Petunjuk Teknis untuk Mengembangkan dan Menawarkan Asuransi Mikro. Jakarta : Kantor ILO Jakarta
  2. Djojosoedarso, Soeisno., (2003). Prinsip-prinsip Manajemen Risiko dan Asuransi. Jakarta : Salemba Empat
  3. Djuhaeni, Henni., (2007). Modul Belajar Asuransi Kesehatan dan Managed Care. Bandung : Program Pascasarjana Magister Ilmu Kesehatan Masyarakat Univ. Padjajaran
  4. Ilyas, Yaslis., (2003). Mengenal Asuransi Kesehatan. Jakarta : Usaha Prima
  5. Murti, Bhisma., (2003). Prinsip dan Metode Riset Epidemiologi. Yogyakarta : Gajah Mada University Press
  6. Notoatmodjo, S., (2005). Metodologi Penelitian Kesehatan. Jakarta : PT. Rineka Cipta.
  7. Wibowo, Arief., (2008). Modul SPSS. Surabaya : Departemen Biostatitika dan Kependudukan FKM Unair

Archive Article

Cover Media Content

Volume : 11 / No. : 2 / Pub. : 2013-05
  1. The recomendation to compliance fully immunized infants based on interaction model of client health behavior (imchb)
  2. Improving medical record completeness
  3. Analysis factors that affect the high claims ratio of work accident insurance program in branch office a and b of pt. jamsostek
  4. The effect of individual and organizational factors towards the improvement of work discipline of employees
  5. Problem solving cycle (psc) intervention program based on 7 principles to hospital patient safety
  6. The evaluation of clinical nursing learning’s application about bedside teaching and clinical assigment based on cipp evaluation
  7. Optimization of nursing staff utilization through job redesign
  8. Social for parents of children with cleft lips
  9. Human capital role in the success of organization: the employee is investation