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Manager - Aagi A&h Claims Payment

3 weeks ago

กรงเทพมหานคร, Thailand Allianz Thailand Full time

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