Krungthai AXA Life Insurance Public Company Limited

Job ID: BK-118918 | Location: Bangkok, Thailand
07 August 2019 Print Report Share

Krungthai AXA Life Insurance Public Company Limited

Job ID: BK-118918 | Location: Huaykwang, Bangkok, Thailand

Staff - Health Claim Management

Job Description:

Conduct health claim investigation activities

  • Conduct health claim investigation activities to ensure appropriate steps are performed
  • Monitoring the progress of claims and control claim aging to ensure all pending cases will be completed within SLA
  • Recommend standard work instruction to ensure process are in line with all stakeholders and regulators
  • Assure completion of all the communication between insured and company
  • Assist and coordinate with TPA to ensure the smoothly claim process
  • Manage customer expectation with a strong focus on customer satisfactions

Claim analysis

  • Assess and approve health claim of all insurance products include special request regarding the given authority
  • Review high claim case then summarize and escalate to higher authority

Solve complex, non-standard cases

  • Corresponds with internal department, agents, medical providers and others as required to gather necessary information to solve the complex cases and summarizes findings and recommends action.
  • Analysis the case and forecast the impact
  • Provide the evidence and feedback to support stakeholders on complaint case from all channels such walk-in, social media, regulators and etc

Support and direct team to execute the excellence claim service

  • Deliver efficient guideline to facilitate claim process
  • Supervise and motivate team to complete claim process and consistently deliver with high quality standards, accurate information, and within service level agreement
  • Performs other duties as assigned
  • Project supporting

Compliance & Process management

  • Ensure compliance by following laws and regulations, internal control requirements and the KTAXA Claims policy
  • Monitor and take action on aging claim report
  • Maintain the procedure and process to be aligning with contract provision and comply with company and regulator’s rules
  • Support first aids room

Qualifications:

  • Bachelor Degree in Nursing
  • At least 1 year of working experience in Life or non Life Insurance and Health Claims is required
  • Capable to communicate in both writing and speaking Thai and English
  • Negotiate and handle issues with external and internal parties

Job Details:

  • Employment Type:

    Full Time, Permanent
  • Career Level:

    Entry Level
  • Required Qualification :

    Degree
  • Required Experience :

    1 years
  • Company Industry:

    Insurance / Pension Funding
  • Location:

    Huaykwang, Bangkok, Thailand
  • Salary:

    Salary negotiable

Benefits:
Five-day work week
Performance bonus
Medical insurance
Dental insurance
Life insurance

Krungthai AXA Life Insurance Public Company Limited
Khungthai AXA is a perfect combination of Khungthai Bank Plc., a commercial bank of the Thai Government, and the AXA Group, the world’s number one insurance group. We aim to satisfy both clients and employees. Our mission is to help people and economies grow. With 140,000 employees of AXA. Group. We have the international reach, experience and imagination it takes to bring the best financial protection and wealth management to 50 million clients worldwide Our commitment is to satisfy our clients by providing high standard services that are highly suited to the needs of today’s Thai people

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