Claims Assessor (Bangkok, Thailand)

Our client, an international healthcare insurance company, have an incredible opportunity for a Claims Assessor to join the team in Bangkok, Thailand.

This is a fantastic opportunity for a professional with sound medical knowledge (Maybe from a nursing background or a junior doctor background) to join an international insurance company.

Role Purpose
the Claims Assessor will be responsible for taking claims through the claims life-cycle end-to-end. This starts with registering incoming claims, checking for relevant documentation, evaluating claims including complex and protracted claims, proposing decisions explaining your rationale, communicating with members, medical facilities and other parties. The role focus is timely and accurate claims evaluation and
decision making thus setting the pace and standard of work for the entire unit.

The role will involve interaction with insured clients and medical facilities to obtain claim related information as
well as responding to customer inquiries. The Claims Assessor will use established processes and systems to
evaluate and update claims records, performing administration when required.

Operating as a part of a claims handling unit, the Claims Assessor will use in-depth product and procedural knowledge to advise colleagues, sharing expertise and experience. Must have the ability to evaluate claims in accordance with policy handbook, proposing a decision based on eligibility, accuracy, and verifiable facts and must have the communication skills necessary for high level referrals to underwriters and department heads.

The Claims Assessor will also be expected to develop his/her personal skills, experience and abilities so that he/she may continually improve and be considered for career progression.

Role Profile
Role Title: Claims Assessor

Role Location: Bangkok, Thailand

Responsibilities

• Relationship Management: Establish, develop and maintain relationships with existing clients,
  providers and other partners.
• Claims Handling: Take claims through the claims lifecycle. This includes registering incoming
  claims, checking for relevant documentation, evaluating claims including complex and protracted
  claims, proposing decisions explaining your rationale and administering the
  closing of the claim record.
• Client Contact: In a customer focused manner respond to telephone and email inquiries. Take
  ownership of claims considering the customer experience, the business need
  and resolving inquiries exceeding their expectations.
• Representation: Promote and support the corporate visions, values and brand identity by
  acting as an ambassador of the company.

Qualifications

• Sound medical knowledge (Maybe from nursing background or a junior doctor)
• Great communication skills; Must be able to deal with challenging clients on call
• Good decision making, judgement and investigative skills
• Previous experience in claims process is preferred

  There is a shift system in place for this role. The Claims Assessor will work either 08:00 to 17:30 or a later shift from 11:30 to 21:00.

  Shifts are designed to give some benefits to employees:

  1. Employees can work from home if it’s their turn to work on a Saturday or Sunday
  2. Instead of a 5 day work + 2 days off. This shift is enables them to have short work week with 4 days’ work + 3 days off.

Our client, an international healthcare insurance company, have an incredible opportunity for a Claims Assessor to join the team in Bangkok, Thailand.

This is a fantastic opportunity for a professional with sound medical knowledge (Maybe from a nursing background or a junior doctor background) to join an international insurance company.

Role Purpose
the Claims Assessor will be responsible for taking claims through the claims life-cycle end-to-end. This starts with registering incoming claims, checking for relevant documentation, evaluating claims including complex and protracted claims, proposing decisions explaining your rationale, communicating with members, medical facilities and other parties. The role focus is timely and accurate claims evaluation and
decision making thus setting the pace and standard of work for the entire unit.

The role will involve interaction with insured clients and medical facilities to obtain claim related information as
well as responding to customer inquiries. The Claims Assessor will use established processes and systems to
evaluate and update claims records, performing administration when required.

Operating as a part of a claims handling unit, the Claims Assessor will use in-depth product and procedural knowledge to advise colleagues, sharing expertise and experience. Must have the ability to evaluate claims in accordance with policy handbook, proposing a decision based on eligibility, accuracy, and verifiable facts and must have the communication skills necessary for high level referrals to underwriters and department heads.

The Claims Assessor will also be expected to develop his/her personal skills, experience and abilities so that he/she may continually improve and be considered for career progression.

Role Profile
Role Title: Claims Assessor

Role Location: Bangkok, Thailand

Responsibilities

• Relationship Management: Establish, develop and maintain relationships with existing clients,
  providers and other partners.
• Claims Handling: Take claims through the claims lifecycle. This includes registering incoming
  claims, checking for relevant documentation, evaluating claims including complex and protracted
  claims, proposing decisions explaining your rationale and administering the
  closing of the claim record.
• Client Contact: In a customer focused manner respond to telephone and email inquiries. Take
  ownership of claims considering the customer experience, the business need
  and resolving inquiries exceeding their expectations.
• Representation: Promote and support the corporate visions, values and brand identity by
  acting as an ambassador of the company.

Qualifications

• Sound medical knowledge (Maybe from nursing background or a junior doctor)
• Great communication skills; Must be able to deal with challenging clients on call
• Good decision making, judgement and investigative skills
• Previous experience in claims process is preferred

  There is a shift system in place for this role. The Claims Assessor will work either 08:00 to 17:30 or a later shift from 11:30 to 21:00.

  Shifts are designed to give some benefits to employees:

  1. Employees can work from home if it’s their turn to work on a Saturday or Sunday
  2. Instead of a 5 day work + 2 days off. This shift is enables them to have short work week with 4 days’ work + 3 days off.

Our client, an international healthcare insurance company, have an incredible opportunity for a Claims Assessor to join the team in Bangkok, Thailand.

This is a fantastic opportunity for a professional with sound medical knowledge (Maybe from a nursing background or a junior doctor background) to join an international insurance company.

Role Purpose
the Claims Assessor will be responsible for taking claims through the claims life-cycle end-to-end. This starts with registering incoming claims, checking for relevant documentation, evaluating claims including complex and protracted claims, proposing decisions explaining your rationale, communicating with members, medical facilities and other parties. The role focus is timely and accurate claims evaluation and
decision making thus setting the pace and standard of work for the entire unit.

The role will involve interaction with insured clients and medical facilities to obtain claim related information as
well as responding to customer inquiries. The Claims Assessor will use established processes and systems to
evaluate and update claims records, performing administration when required.

Operating as a part of a claims handling unit, the Claims Assessor will use in-depth product and procedural knowledge to advise colleagues, sharing expertise and experience. Must have the ability to evaluate claims in accordance with policy handbook, proposing a decision based on eligibility, accuracy, and verifiable facts and must have the communication skills necessary for high level referrals to underwriters and department heads.

The Claims Assessor will also be expected to develop his/her personal skills, experience and abilities so that he/she may continually improve and be considered for career progression.

Role Profile
Role Title: Claims Assessor

Role Location: Bangkok, Thailand

Responsibilities

• Relationship Management: Establish, develop and maintain relationships with existing clients,
  providers and other partners.
• Claims Handling: Take claims through the claims lifecycle. This includes registering incoming
  claims, checking for relevant documentation, evaluating claims including complex and protracted
  claims, proposing decisions explaining your rationale and administering the
  closing of the claim record.
• Client Contact: In a customer focused manner respond to telephone and email inquiries. Take
  ownership of claims considering the customer experience, the business need
  and resolving inquiries exceeding their expectations.
• Representation: Promote and support the corporate visions, values and brand identity by
  acting as an ambassador of the company.

Qualifications

• Sound medical knowledge (Maybe from nursing background or a junior doctor)
• Great communication skills; Must be able to deal with challenging clients on call
• Good decision making, judgement and investigative skills
• Previous experience in claims process is preferred

  There is a shift system in place for this role. The Claims Assessor will work either 08:00 to 17:30 or a later shift from 11:30 to 21:00.

  Shifts are designed to give some benefits to employees:

  1. Employees can work from home if it’s their turn to work on a Saturday or Sunday
  2. Instead of a 5 day work + 2 days off. This shift is enables them to have short work week with 4 days’ work + 3 days off.