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Sunday Co., Ltd.

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Apr 2, 2025

Nurse Assessor

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bts iconBTS Chong Nonsi, Saint Louis
brt iconBRT Sathon
salary iconSalary
salary iconNot specified
number of positions iconVacancies
number of positions icon1
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Job Descriptions
- Daily monitoring of all medical claims. - Manage the expectation of customers in line with Company’s direction - Verifying claims documents vs policy terms & conditions to ensure genuineness of claim within policy coverage - Coordinate between customers, broker, service providers to ensure excellent service - Coordinating with Accident & Health team for medical opinion and claim approval & ensure targeted turnaround time is achieved - Performing medical contact to gather information from hospitals/medical center - Explaining medical problems to patients or their families - Reviewing the treatment provided by hospitals is relevant to the case and in appropriate price - Flag irregular/fraudulent/exaggerated claims to superior for further action - Liaising with hospitals with a view to eliminating unnecessary or irrelevant treatment, over-servicing, over-charging and cost-containment - Evaluating customer’s condition and arranging proper assistance to claimant - Handling e-mail & all communication channels within targeted timeline - Prepare weekly reporting on TAT, outstanding & repudiated cases - Any other task/responsibility assigned by superior
Qualifications
  1. 0-5 years of nursing or nurse claim assessor experience.
  2. Experience working under the Insurance department in the hospital or insurance and broker will be a big plus.
  3. Have a flexible schedule and must be able to work in shifts which may include night schedule and weekend.
  4. Able to work in commercial environment and fast moving business
  5. Good interpersonal and communication skills
  6. Computer literacy is essential
  7. Self-motivated, result oriented, ability to work under pressure, creative and energetic
  8. Willing to learn and can do attitude
BenefitsSee all Benefits.
How to apply
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Contacts
Khun Teerapipat Phatrat
Sunday Co., Ltd.
Email : sunday__80@trustmail.jobthai.com (Email for job application & inquiry)
Website : https://careers.easysunday.com/
Location
Si Lom Bang Rak Bangkok
Directions
BTS ช่องนนทรี หรือ BRT ช่องนนทรี
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