Senior Claims Administrator

7 months ago

กรงเทพมหานคร, Thailand April Asia Pacific Full time

For over 30 years, APRIL International Care has been specializing in international health insurance solutions. We design, distribute, and manage insurance plans and assistance services for individuals and businesses. With teams across Asia, Europe, and the Americas, we look after our members wherever they are to make sure they have access to the best care.

We are part of the APRIL Group, a global insurance specialist with 2,300 staff in 16 countries.

To sustain the growth of the company as well as the expansion of our services we are currently looking for a **Senior Claims Administrator** with a focus on Letter of Guaranty emission. Your role will be essential to provide peace of mind to our clients and accompany them in complex situations. Customer-centric and proactivity are a must.

**Your main responsibilities will include**:

- Handle hospitalization pre-approval by checking the eligibility of coverage and providing close case handling monitoring throughout the process
- Assess simple medical eligibility
- Assess if costs are reasonable and customary
- Proactively manage cases using our system/ tools and communicate with all relevant departments
- Follow the process and always update the cases to ensure smooth teamwork
- Keep the clients updated on ongoing cases
- Process original invoices in our case-handling system
- Assist the Manager on special projects
- Contribute to other office activities upon request according to workload and priorities

**Your profile**:

- Bachelor’s degree, a specialization in nursing is a strong plus
- 5+ previous experience in nursing, health administration, claims administration
- Fluent in both written and spoken English
- Able to work on at the office on Friday, Saturday and Sunday.
- You can work from home on Thursday and Monday after a successful probation period.
- Flexibility in the working hours will be expected
- Flexibility, adaptation, and a good mindset are key values for this role
- Have excellent communication, interpersonal and analytical skills
- Knowledge of Computer PC, MS-office, Internet, E-mail

**What we offer**:

- You will further specialize in a sought-after profession
- You will integrate into a dynamic and committed team of professionals in a regional setting
- You will be offered development and career opportunities in a fast-growing tech-driven company.

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