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Health Claim Assessor

Health Claim Assessor

Job Description

- Review, analyze and approve medical claims within authority limits.

- Corresponds with internal departments, agents, medical providers and others as required to gather necessary information to solve complex cases and summarize findings and recommended actions.

- Supervise junior claim assessor

- Ensure compliance by following laws and regulations, internal control requirements and the Krungthai-AXA Claims policy.

- Performs other duties as assigned

Qualification

- Bachelor Degree in Nursing, Medical Technical

- At least 2 years of working experience in health claim business

- Experienced in Health Claims end to end process management

- Life insurance business background is preferred

- Negotiate and handle issues with external and internal parties

- Problem solving & Decision Making

- Motivate people to work under limitation and pressure

- Organize and balance workload


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