Manager - Aagi A&h Claims Payment
2 months ago
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
- Issue memo into the system for administration in performing next steps
- Submit for further investigation
- Request the hospital records from hospital
- Continuously monitor and make decision for the pending cases of Claims Reimbursement, or back log
- Consolidate the complex cases and prepare for Claim Committee and COO/ CEO according to the authorization
'2) Hospital assessment Claims (OPD cahless)
- Handling the OPD cashless claims from the hospital
- Perform investigation and make decision for OPd cashless claims received in the system
Approve for the payment base on authorization
Perform rejection of fax claims received
Require the additional information
Issue memo into the system for administration in performing next steps
Submit for further investigation
Request the hospital records from hospital
- Continuously monitor and make decision for the pending cases of OPD cashless Claims Hospital, or back log
- Manage the complex cases which requires for Claim Committee Decision, and present to Claim Committee and COO/ CEO according to the authorization
**Qualifications;**
- Bachelor’s or Master’s Degree in Business Administration, Nursing, Business of Sciences (Medical Technology), or other related field
- 5-7 yrs experience in Claims Assessor or other related fields in insurance industry
Allianz Ayudhya
**Job Level**:
Professional
**Location**:
- Bangkok, TH, 10330**Area of Expertise**:
Customer Services & Claims
**Unit**:
Allianz Thailand
**Employing Entity**:
Allianz Ayudhya General Insurance Pcl.
**Job Type**:
Full-Time
**Remote Job**:
Hybrid working
**Employment Type**:
Permanent
**ID**:
35871
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