Health Claim Assessor
ประกาศจากแหล่งภายนอกคุณสมัครได้โดยตรง — เราจะพาคุณไปยังหน้าสมัครงานของบริษัท ไม่ต้องสมัครสมาชิก ไม่มีคนกลาง ไม่ต้องล็อกอิน ThaiJobz
เกี่ยวกับตำแหน่ง
Review and evaluate health claims from policyholders, ensuring accuracy and compliance with company policies and industry regulations. This role involves liaising with healthcare providers, processing claims efficiently, and identifying areas for process improvement.
รายละเอียดงาน
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
About Krungthai-AXA Life Insurance
Krungthai-AXA Life Insurance Public Company Limited, created from a solid co-investment partnership between Krungthai Bank PCL. and the AXA Group, global financial protection and asset-management specialists.
The trademark of Krungthai-AXA Life Insurance is designed to indicate the combination of the two corporations. Krung Thai Bank PCL. and AXA Group logos are aligned with Thai characters displaying the company name as Krungthai-AXA Life Insurance placed above the red line and the new company signature. Redefining/Life Insurance.
Today Krungthai-AXA Life Insurance Public Company Limited is a fast-growing life insurance company with a vision – Ambition AXA.
Our Perks and benefits
- Employee and Family Health Insurance Benefits
- Life and Accident Insurance Benefits
- Hybrid Working and Flexible Working Hours
- Annual Leave & Birthday Leave
- Salary Increment & Bonus
- Digital Learning - Self Learning Organization
- Annual Health Check up
- Provident Fund
สวัสดิการที่ได้รับ
คุณสมบัติผู้สมัคร
- ประสบการณ์
- 1-2 ปี
- การศึกษา
- ปริญญาตรี