Nurse Claim Assessor

**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 &...

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...

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

**Key Responsibilities**: - Assess health / accident claims for the customers via fax from the hospitals (fax claims) - Respond to enquiries, escalations, and complaints from the customers and hospitals - Coordinated all required tasks between the customers, hospitals, and third party insurance company - Active participation in performance reviews, coaching...

**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...

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 -...

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...

**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. -...

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...

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...

**Your everyday** - Coordinate with relevant stakeholders to provide best customer service - Approve claims within authority & establish fair practices in claims settlement in terms of claim genuineness, liability & breakdown assessment - Keep stakeholders informed on the progress of the claim - Update necessary claim information into database & ensure...

**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...

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...

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...

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...

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...

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...

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...

Job Highlights Claims assessment (Majority is Travel Claims) Possess efficient interpersonal skills Customer experience and satisfaction Job Descriptions Assess and investigate Complex claims within his/her authority. Able to provide a technical referral point of team members. Able to advise key loss and wider trends to line of business Support team...