Sr. Specialist - A&H Fax Claims

About the Role

Support Claims Hospital Fax Team by handling fax claims received from hospitals, tracking and monitoring to ensure there are no pending cases or backlog.

Responsibilities

• Provide support to team in handling fax claims from hospitals
• Check information from fax claim documents and record into the system
• Support investigation and decision-making for claims in the system, including: approve payment based on authorization with accuracy; verify claim activities with authorities; perform rejection of fax claims when appropriate; request additional information
• Issue memos in the system for administration to perform next steps
• Submit cases for further investigation and request hospital records
• Continuously monitor and resolve pending fax claim cases and backlogs

Qualifications

• Bachelor’s degree in Nursing Sciences, Science of Medical Technology, or 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

Skills

• Familiarity with claims/CRM systems is an advantage
• Knowledge of MS Office
• Any AI-related skills (e.g., ChatGPT, CoPilot365) are an advantage

About the Company

Allianz Group is a global insurance and asset management company. The organisation values inclusion, integrity and equal opportunity and supports employee development.

Additional Information

• ระดับประสบการณ์: กึ่งอาวุโส
• ประเภทการจ้างงาน: พนักงานประจำ
• หน้าที่งาน: เทคโนโลยีสารสนเทศ
• อุตสาหกรรม: บริการด้านการเงินและการประกันภัย