Health and Lifecare Claims Assessor

Assess and approves wit respect to new incontestable health and accident claim cases regarding the given authority. Facilitate the recommendation to higher authority assessor. Captures the claim information and benefit payment into the system as required to ensure the accurate payment to the claimant. Monitor and take action on self pending of claim ever 15...

**Claim Assessor**: สมัครตอนนี้ » **วันที่**:8 ต.ค. 2567 **ตำแหน่งที่ตั้ง**: ไทยประกันชีวิต สำนักงานใหญ่, TH **บริษัท**:Thai Life Insurance...

Leading the health claim reimbursement team to provide the excellent service to ensure the best customer experience always being delivered. In charge of end-to-end claim process from reception of request to examination and payment delivery, include reconsideration of nonpayment. Including handling the denial and appeal case effectively and reducing...

**Everyday you will...** - Daily monitoring of all medical claims. - Manage the expectation of customers in line with Company’s direction - Verifying claims documents vs policy terms & conditions to ensure genuineness of claim within policy coverage - Coordinate between customers, service providers to ensure excellent service - Coordinating with Accident &...

Daily monitoring of all medical / travel claims - Manage the expectation of customers in line with Company’s direction - Verifying claims documents vs policy terms & conditions to ensure genuineness of claim within policy coverage - Coordinate between customers, broker, service providers to ensure excellent service - Coordinating with A&H team for medical...

**Essential Job Functions**: - **Claims Processing**: Handle all medical and extended warranty claims, ensuring they are valid under the policy terms, within policy limits, and assess the circumstances around each claim. Identify opportunities for cost containment and adhere to company service standards and timeframes for processing and finalizing claims. -...

**Roles & Responsibilities** - Handle and investigate all Health, Cancer, Personal Accident and Travel Claims. - Checking all claims supporting documents and other paper work. - Register Claims including payment in System. - Reply all queries/questions from all internal and external customers. - Perform other related duties as assigned. - Bachelor Degree...

**Overview**: **Salary**: 100,000 THB ~ 150,000 THB**Industry**: Insurance- Strategic Leadership: - Develop and execute the claims department’s strategic vision. - Collaborate with cross-functional teams to align claims processes with business goals. - Monitor industry trends and implement best practices. Claims Management: - Oversee end-to-end claims...

**Essential Job Functions**: - Verify Claim - Organize and manage documents - Prepare monthly reports and check that all data are correct before submit to customer - Professionally handle phone calls that receiving from Customers and our Providers - Perform other duties and special assignments as required **Requirements**: - Bachelor’s Degree in related...

Assess and approves with respect to both new and referred claim cases include special request regarding the given authority. Capture the claim information and benefit payment into the system as required to ensure the accurate payment to the claimant. Monitor and take action on self pending of claim every 15 days. Participate into system & process improvement...

Manage Claims Payment Team. Support to monitors the pending cases or back log. **Job responsibilities;** '1) Claims Reimbursement - Support team to investigate and make decision for claims assessment by covering the below actions: Approve for the payment base on authorization. Perform rejection of claims reimbursement Require the additional information -...

รายละเอียดงาน **รูปแบบงาน **:งานประจำ**จำนวนที่รับ **:ไม่ระบุ**สถานที่ปฏิบัติงาน...

**Job Profile Description** - Understand Life, Health and PA insurance and able to give advice to clients, claimants, policyholders, brokers and other experts on claim perspective. - Reviews and understands incoming documentation and new claims notifications. - Able to advice on documents required to ensure all documents are collected at once in order to...

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...

About FWD Group FWD Group is a pan-Asian life and health insurance business with more than 12 million customers across 10 markets, including some of the fastest-growing insurance markets in the world. The company was established in 2013 and is focused on changing the way people feel about insurance. FWD’s customer-led and digitally enabled approach aims...

Company Health Insurance Reporting To COO Key Functions - Develop and execute the claims department’s strategic vision. - Collaborate with cross-functional teams to align claims processes with business goals. - Monitor industry trends and implement best practices. - Oversee end-to-end claims processing, from intake to resolution. - Ensure accurate...

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...

Overall accountability for FWD TH Health, including Actuarial, Health Operations (Claims, Medical Networks, Medical Services and FWA), Data and Analytics. Develop and execute strategic vision for FWD TH Health division, aligning with the FWD Group and TH goals, enhance the performance, operations, efficiency, growth, retention, and profitability of FWD TH...

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...

ประกันภัย วันนี้ - คุณสมบัติพื้นฐาน - งานประจำ- 2 - 4 ปี- กทม. (ห้วยขวาง)- ปริญญาตรี- Competitive- หน้าที่และความรับผิดชอบ - 1. Responsible for providing quality claim services to the...