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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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