Three Defendants in BPJS Ketenagakerjaan Case Allegedly Cost State Rp24.55 Billion

Three defendants are alleged to have caused state losses amounting to Rp24.55 billion through a fictitious claim scheme involving the Workers Social Security Agency’s (BPJS Ketenagakerjaan) Work Accident Insurance (JKK) programme, spanning 2014 to 2024. The accused are Renu Arinta Shani, a former HR director at PT Mitra Adi Perkasa and Director of PT Empat Enam Sejahtera, along with Sri Listiani and Sayoko Adi Nugroho, former verification staff at BPJS Ketenagakerjaan. Prosecutor Arif Darmawan from the Attorney General’s Office stated during the indictment hearing at the Jakarta Central District Court’s Corruption Court that the three unlawfully received proceeds from 391 engineered JKK claims. Renu allegedly received Rp16.34 billion, Sri Rp5.94 billion, and Sayoko Rp1.63 billion. The defendants face charges under Article 603 in conjunction with Article 20 letter C and Article 126 of the National Criminal Code, or alternatively Article 3 in conjunction with Article 18 of Law Number 31 of 1999 concerning the Eradication of Corruption as amended by Law Number 20 of 2001. The prosecutor detailed that from 2014 to 2024, Renu fabricated claim documents by borrowing identity cards, BP Jamsostek membership cards, and bank account books of company employees. She instructed a printing house to produce the necessary documents, including hospital receipts with inflated payment amounts. These falsified documents were then submitted to Sri for processing, who knowingly declared them complete and verified despite being aware of their fraudulent nature. After obtaining approval, the documents were signed by the branch head, and payments were transferred to the accounts of the BP Jamsostek participants whose identities were used. Renu would then contact these participants and instruct them to transfer 75 per cent of the funds to her personal account. From the money received, Renu transferred 25 per cent of the paid JKK claim to Sri’s account. This practice continued between Sri and Renu from 2015 to 2024. Around 2015, Sayoko summoned Renu to question irregularities in the JKK claims, particularly the disproportionate claim values on hospital payment receipts compared to the duration of hospitalisation. Renu admitted to Sayoko that using inflated hospital receipts was a common practice she conducted with Sri, and that Sri received a share of the proceeds. Despite this knowledge, Sayoko continued to process the fictitious JKK claims brought by Renu, certifying the verification as complete and compliant. Sayoko calculated the claim amounts on the hospital receipts as if they were genuine, even though he knew they were false. Consequently, the fictitious claims were paid out, and Sayoko received a share from Renu, a practice that persisted from 2011 until 2024. The prosecutor stated that Sayoko received approximately 25 to 40 per cent of each fictitious claim payout.