Accident & Health Hospital Fax Claim Specialist
5 days ago
Nice to know
Support Claims Hospital Fax Team. Also handle the fax claims received from hospitals, tracks and monitors to ensure that there are not the pending cases of fax claims, or back log.
Your Day at Allianz Ayudhya
Hospital Fax Claims
Provide supports to team in handling the fax claims from the hospital
Check the information from fax claims documents, and record into the system
Support team to investigate and make decision for claims in the system, by covering the below actions:
· Approve for the payment base on authorization with accuracy
· Verify claim activities with authority
· 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 Claims Hospital Fax , or back log
Must Have
· Bachelor's degree in Nursing Sciences, Science of Medical Technology, orany related field
· At least 5 years' experience in Nursing practice or Claims Management
· Knowledge of claims management and insurance policies
· Experience in document management and filing systems
Nice to Have
· Familiar with using claims/CRM systems is advantage
· Knowledge of MS Office
· Any AI-future skills e.g., ChatGPT, or CoPilot365, will be advantage.
-
Claim Accessor
2 days ago
Pathum Wan, Bangkok, Thailand Allianz Ayudhya Assurance Public Company Limited Full timeAbout the role Join Us as a Claim Accessor (Life & Health) reimbursement in our Head office. In this full-time role, you will be responsible for reviewing and processing insurance claims reimbursement, ensuring accurate and timely delivery of payments to our customers.What you'll be doingContinuously monitor and make decision for the pending cases of Claims...
-
Nurse Claims Assessor
5 days ago
Pathum Wan, Bangkok, Thailand AXA Insurance Public Company Limited Full timeNurse Claims Assessor (Fax Claim) The incumbent is responsible for completing assessments by issuing Guaranteed of Payment (GOP) to hospitals; reviewing fax claims cases; processing and approving reimburse or invoices; referring complicated cases to claims manager and doctors to identify best solutions. QualificationsNursing or medical background is a...
-
Medical Claim Specialist
2 weeks ago
Pathum Wan, Bangkok, Thailand Allianz Ayudhya General Insurance Public Company Limited Full timeResponsibilities1). Reviews claim and medical reports (medical indication assessment) - Verify the eligibility of the claim by using and applying the medical knowledge to pre-arrangement cases.- In case of medical issues such as medical necessity for the procedures have to consult medical consultant team.- Applies all medical necessity guidelines...
-
Sr. Claim Quality Audit
5 days ago
Pathum Wan, Bangkok, Thailand Allianz Ayudhya Assurance Public Company Limited Full timeNice to knowBeing responsible for claim quality audit and report preparation in timeline. Also, claim analysis project and the activities related to its results.Your Day at Allianz AyudhyaClaim Quality Audit· Regular claim quality review and feedback result to team.· Random checking Reimbursement claims both individual and group (E-claim submission,...
-
Junior Claim Staff
2 weeks ago
Pathum Wan, Bangkok, Thailand Allianz Ayudhya General Insurance Public Company Limited Full timeAbout the role We are seeking a highly skilled General Insurance Claim Staff - Property to join our dynamic team at Allianz Ayudhya General Insurance Public Company Limited'. As a key member of our Claims department, you will play a crucial role in providing efficient and effective claims handling services to our valued customers. This full-time position is...
-
Sr. Manager
2 days ago
Pathum Wan, Bangkok, Thailand Allianz Ayudhya General Insurance Public Company Limited Full timeAbout the role We are seeking an experienced Sr. Manager - IPD Cashless Service Management (Health) to join our team at Allianz Ayudhya General Insurance Public Company Limited. In this full-time role, you will be responsible for overseeing the Inpatient Department (IPD) Cashless Service Management for our health insurance products, ensuring seamless...
-
INTL. Operations
2 weeks ago
Pathum Wan, Bangkok, Thailand International SOS Services (Thailand) Limited Full timeWork with INTL.SOS Thailand, The Best Company to Work for in Asia Awards International Operations Specialist (Eng. Speaking 100%) 3 positionsJob DescriptionScope of work: INTERNATIONAL MEDICALS SERVICE.Health and Security Global ServiceTravel Risk ManagementMedical and Security EvacuationWorkforce ManagementQualificationsTOEIC should be higher than...
-
Specialist, Sales
2 weeks ago
Pathum Wan, Bangkok, Thailand Marriott Full timePOSITION SUMMARY Contact appropriate individual or department (e.g., Sales, Data Administration, Accounting) as necessary to resolve guest calls, requests, or problems. Use sales techniques that maximize revenue while maintaining existing guest loyalty to Marriott, including up-selling. Determine and give complimentaries to guests as gifts for their...
-
Central Health Service-Executive Staff
7 days ago
Pathum Wan, Bangkok, Thailand Prudential Life Assurance (Thailand) Public Company Limited Full timeRoles & responsibilities:Providing customers with information related to their medical condition, suggestions of appropriate medical professions and facilities , and insurance coverage optionsNavigating customer to Preferred healthcare provider options and Coordinating with healthcare providers to ensure that appointments are scheduled.Arranging for discount...
-
Internal Audit officer/เจ้าหน้าที่ตรวจสอบภายใน
2 weeks ago
Pathum Wan, Bangkok, Thailand MBK Public Company Limited Full time1.) ร่วมจัดทำแผนการตรวจสอบประจำปี2.) ประเมินวิเคราะห์การควบคุมภายในและประเมินความเสี่ยงของระบบงาน3.)