Medical Claim Specialist

About 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 (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...

Nice to knowSupport 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,...

Job Scopes:Provide technical guidance on business evaluation and acceptance in accordance with the program and acceptable business standards and ensure maintenance of sound underwriting standards and efficient process flows by apply the health reflexive questions.Provide medical expertise on complex underwriting case assessment, medical claim assessment and...

Nice 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,...

Key Responsibilities:Serve as the primary underwriter for jumbo/deviated cases, and high-value policies.Provide expert medical explanations to clients and distribution partners regarding declined or sub-standard premium cases, ensuring clarity and professionalism.Engage directly with clients and/or their representatives as needed to resolve concerns and...

About 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...

To formulate product demonstration plan in conjunction with PD Mgr.To conduct FME product demonstration in target hospitals with PD team as plannedTo be responsible for internal and external training of FME productsTo be responsible for in-market workshop arrangement, product demonstration in physician conferenceTo regular visit key customers (as requested...

KOKUYO Japan's No.1 Office Furniture established since 1905 and founded in Thailand 2004 which manufactures and sale of office furniture as well as the office design. Our headquarter is located in Osaka Japan which showrooms and offices across Asia from Japan, China, Hong Kong, Vietnam, India, Thailand, Indonesia, Malaysia, Singapore and Australia.We're now...

Work 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...