Job Description
Full details about the role and requirements
Yukerja Summary
The Staff - Health Claim Assessor (Pre-arrangement) role at Krungthai-AXA Life is curated from JobStreet (category Kesehatan). Note the work location (Bangkok) before applying. Yukerja.com is not the employer — applications are handled on the official source site.
Job Descriptions:
Review and evaluate health claims submitted by policyholders to ensure completeness and accuracy.
Verify policy coverage and eligibility for claimed services.
Liaise with healthcare providers and policyholders to gather necessary documentation and information.
Provide clear communication regarding the claims process, requirements, and timelines.
Ensure that all claims are processed in accordance with company policies, industry regulations, and best practices.
Assist in identifying and resolving discrepancies or issues related to claims.
Work closely with internal teams to facilitate efficient claims processing.
Participate in team meetings and contribute ideas for improving processes.
Generate reports on claims processing metrics and key performance indicators as required.
Identify trends or areas for improvement in the claims process.
Qualifications:
Bachelor’s degree in nursing
Experience in Claim Assessor, Concurrent Review, UR Nurse
Strong attention to detail and analytical skills
Excellent communication and interpersonal skills
Proficient in Microsoft Office Suite and claims management software
Knowledge of health insurance policies and regulations is a plus