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Staff - Health Claim Assessor (Pre-arrangement)

2 weeks ago

Bangkok, Bangkok, Thailand Krungthai AXA Life Insurance Public Company Limited Full time $30,000 - $40,000 per year

Job Descriptions:

  • Review and evaluate health claims submitted by policyholders to ensure completeness and accuracy.
  • Verify policy coverage and eligibility for claimed services.
  • Liaise with healthcare providers and policyholders to gather necessary documentation and information.
  • Provide clear communication regarding the claims process, requirements, and timelines.
  • Ensure that all claims are processed in accordance with company policies, industry regulations, and best practices.
  • Assist in identifying and resolving discrepancies or issues related to claims.
  • Work closely with internal teams to facilitate efficient claims processing.
  • Participate in team meetings and contribute ideas for improving processes.
  • Generate reports on claims processing metrics and key performance indicators as required.
  • Identify trends or areas for improvement in the claims process.

Qualifications:

  • Bachelor's degree in nursing
  • Experience in Claim Assessor, Concurrent Review, UR Nurse
  • Strong attention to detail and analytical skills
  • Excellent communication and interpersonal skills
  • Proficient in Microsoft Office Suite and claims management software
  • Knowledge of health insurance policies and regulations is a plus