Allianz Ayudhya Assurance Pcl.
Your Day at Allianz Ayudhya
- Provide supports to team in handling the reimbursement claims.
- Investigate and make decision for claims reimbursement in the system, by covering the below actions:
o Approve for the payment base on authorization.
o Perform rejection of claims reimbursement
o Require the additional information
- Issue memo into the system for administration in performing next steps
- Submit for further investigation
- Request the hospital records from hospital
- Continuously monitor and make decision for the pending cases of Claims Reimbursement, or back log
- Consolidate the complex cases which requires for Claim Committee Decision, and present to Claim Committee and COO/ CEO according to the authorization
- Bachelor’s or Master’s Degree in Business Administration, Nursing, Business of Sciences (Medical Technology), or other related field
- 1 - 3 years’ experience in Claims Assessor, or other related fields in insurance industry
Nice to Have
- Knowledge of claims management policies and processes
- Professional nursing/ medical knowledge
- Knowledge of insurance industry and product
- Good Coordination & Communication skills