 |
Claim Assessor (Staff-Supervisor)
Job description :-
Perform routine claims processes, including but not limited to.
Responsible for adjudication of health claims and accidental claims from non-network and decide to pay claim within authority limit and make suggestion for cases over authority or suspicions claim
Verify claim and billing documents and key in data into system from registration to final decision and handle claim check request for both network and non-network claims
Answer queries from agents, clients and involved parties regarding policy provision, coverage, claim decision, service problems in order to resolve outstanding issues
Request for APS from hospitals and issue memo to clients and/or agents to request addition information and follow-up on pending requests to close claims as well as to inform final decision
Coordinate with hospital to handle network claims and solve daily problem arising from PPO usage
Work with underwriter to obtain comment for claim decision on early claim cases
Monitor misbehavior of agents and keep records of claim statistics for feedback to management
Others as assignment
.
Qualifications :-
Bachelors Degree or above in Nurse, Medical Science, Legal or related field
Age between 23 35 years
1-5 years experience as Nurse or Claim Assessor in life insurance business will be an advantage
Able to work on holiday and weekends
| จากคุณ |
:
Ladyboy_จอยบ่าวเมือง 
|
| เขียนเมื่อ |
:
20 พ.ค. 54 19:25:47
|
|
|
|
|
เป็นพยาบาลมา 3 ปี เรียนต่อหรือทำงานอะไรได้บ้างถ้าไม่ใช่พยาบาล
