Skillpower Services (Thailand) Co., Ltd.Job ID: BK-215966 | Location: Bangrak, Bangkok, Thailand
Job Purpose: This position is responsible for claims processing by determining the validity of claims, identifying the needs for further investigation and following claims through settlement in accordance to claims processing guidelines to achieve proclivities and service commitment.
1. Review claims cases to determine validity and verification of coverage within own assigned authority; identify the need for further investigation and subsequent settle claims by acceptance or denial payment in accordance to claims processing guidelines contract provision to ensure accuracy of claims settlement.
2. Prepare over authority claims cases to superior for review and approval.
3. Review pending cases and contact the medical providers and concerned parties to obtain information necessary to properly act upon claims processing as deemed appropriate.
4. Any other jobs as assigned
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