PENERAPAN METODE LEAN SIX SIGMA DALAM QUALITY CONTROL KLAIM ASURANSI KESEHATAN

LUTHFI AZIZAH, . (2023) PENERAPAN METODE LEAN SIX SIGMA DALAM QUALITY CONTROL KLAIM ASURANSI KESEHATAN. Sarjana thesis, UNIVERSITAS NEGERI JAKARTA.

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Abstract

Skripsi ini membahas tentang quality control klaim asuransi kesehatan, terutama dalam hal cadangan premi menggunakan metode Lean Six Sigma. Terdapat dua rumus untuk menghitung cadangan premi klaim asuransi ke�sehatan menggunakan metode Lean Six Sigma, yaitu rumus umum cadangan retrospektif untuk asuransi kesehatan dan rumus perhitungan cadangan pre�mi untuk asuransi kesehatan dengan mensubtitusikan rumus umum cadangan retrospektif ke dalam rumus umum metode Lean Six Sigma. Teknik analisis data menggunakan pendekatan Lean Six Sigma dengan metodologi Six Sigma, Define, Measure, Analyze, Improve, and Control (DMAIC). Dengan mene�rapkan pendekatan Lean Six Sigma dalam industri asuransi kesehatan, per�hitungan nilai cadangan premi klaim dapat dilakukan secara efektif. Sebagai hasilnya, semakin lanjut usia seseorang dan semakin panjang jangka waktu pertanggungan, maka besaran cadangan premi yang harus diakumulasi oleh perusahaan asuransi juga akan semakin meningkat. ************ This thesis discusses the quality control of health insurance claims, espe�cially in terms of premium reserves using the Lean Six Sigma method. There are two formulas for calculating health insurance claim premium reserves using the Lean Six Sigma method, namely the general retrospective reserve formula for health insurance and the formula for calculating premium reserves for he�alth insurance by substituting the general retrospective reserve formula into the general formula for the Lean Six Sigma method. Data analysis techniques use the Lean Six Sigma approach with the Six Sigma, Define, Measure, Analyze, Improve, and Control (DMAIC) methodology. By applying the Lean Six Sigma approach in the health insurance industry, the calculation of claim premium re�serves can be done effectively. As a result, the older a person is and the longer the coverage period, the amount of premium reserves that must be accumulated by the insurance company will also increase.

Item Type:	Thesis (Sarjana)
Additional Information:	1). Drs. Sudarwanto, M.Si,DEA. ; 2). Dr. Yudi Mahatma, M.Si.
Subjects:	Sains > Matematika
Divisions:	FMIPA > S1 Matematika
Depositing User:	Users 18994 not found.
Date Deposited:	27 Sep 2023 04:51
Last Modified:	27 Sep 2023 04:51
URI:	http://repository.unj.ac.id/id/eprint/41898

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