As a Health and Accident Claims Specialist, you will be responsible for assessing health and accident claims, estimating costs for medical services, and providing support to both customers and hospitals. You will play a crucial role in ensuring efficient communication and coordination between all parties involved.

 

Key Responsibilities:

Claims Assessment: Evaluate health and accident claims received via fax from hospitals during the admission process, ensuring accuracy and compliance with policy terms.

Cost Estimation: Assess and estimate costs for prearranged medical services, including surgeries and special investigations.

Customer and Hospital Support: Address inquiries, handle escalations, and resolve complaints from customers and hospitals efficiently.

Coordination: Manage coordination tasks between customers, hospitals, and third-party insurance companies to ensure seamless service delivery.

Performance Reviews and Training: Engage in performance reviews, coaching, and training sessions to enhance personal and team performance.

Continuous Improvement: Provide feedback and suggestions for process improvements to the leadership team.

Scheduling Adherence: Follow assigned rosters and schedules to meet business needs.

Additional Duties: Perform any additional tasks as required by management.

 

Work Conditions:

Working Hours: 40 hours per week, with shifts between 08:00 AM and 05:00 PM. Working Days: 5 days per week, Monday to Sunday, including public holidays. Public Holiday Compensation: Loss of public holidays according to the Thai calendar will be compensated with additional leaves, if applicable.

 

Qualifications:

Experience: Minimum of 6 months in health claims industry. Experience within hospitals, clinics, or insurance claims departments is preferred.

Education: Bachelor’s degree in a health or medical-related field such as nursing, physiotherapy, paramedics, or similar.

Skills: Strong people management, interpersonal communication, coaching, attention to detail, problem-solving, multi-tasking, time management, and analytical skills.

Attributes: Demonstrates customer and market excellence, collaborative leadership, entrepreneurship, and trust.

Other Qualities: Positive and flexible team player, eager to contribute to a dynamic customer service team.

 

Key benefits/What we offer:

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.

We are there to empower and encourage you with your personal and professional development ensuring  that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.

 

48557 | Customer Services & Claims | Professional | Allianz Partners | Full-Time | Permanent

 

 

 

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey. We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.

Join us. Let's care for tomorrow.