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2563

ตำแหน่งงาน : Claim Administrator (เจ้าหน้าที่ธุรการประสานงาน)

ระยะเวลา : กันยายน 2563  ถึง  ปัจจุบัน

รายละเอียดงาน :

• Approve jobs to be accurate and fast , Separate documents attached to CIR 3 (documents that require additional details) and rejected batches. , Check the hospital name, amount and bill amount in the invoice with the Batch cover page to match in the system. If they are found to be inaccurate, they must be re-examined and directed to the Assessor and the Quality assurance (QA) team to correct them. • Approve jobs to complete within a day By targeting 100 Batch and Approve jobs for every batch within the closing date. (At the end of every month) • Make a rejection letter to the hospital And deliver the rejection letter to the hospital by post or e-mail • Make a credit hold letter and send a letter to cancel the credit suspension to the hospital according to the investigation team sends a mail to notify by checking the policy number. , The customer's name-last name is correct again Before making a letter and sending the letter out to the hospital • Send email to Member Team Remark the credit hold screen and cancel the credit hold so that the Assessor team, the Quality assurance (QA) team and the Customer service team can use the information to consider the claim and answer the customer questions that call to inquire about Claim • Batch can be opened by checking the names of hospitals, nursing homes and clinics, amount and bill amount correctly. • Able to request medical history And request additional documents from hospitals, nursing homes and clinics, which must receive additional documents within a period of 5 days, 15 days and 30 days and forwarded to the review team for final review of the case. And in the event that the document is not received within the specified period Will notify the supervisor or the reviewer to acknowledge the reasons for further • Put the documents of the batch thล

2560

ตำแหน่งงาน : Claim Administrator

ระยะเวลา : สิงหาคม 2560  ถึง สิงหาคม 2563

รายละเอียดงาน :

• Contact and coordination with the hospital About APS requests and calling to check the client's treatment history at various hospitals • Answer phone calls to answer customer questions About insurance claims , Benefits in the insurance policy And in the case of rejection of claim • Investigate in case suspected fraud claim, Over insurance, Pre-existing disease and Undisclosed of underlying disease • Find out the hospital no. and call to them for check information of the suspected insured • Prepare and complete document or consent before sent to Procurement Team for request medical history and support detail of insured to procurement and related team both of Health claim and Death Claim • Follow up Medical History both of Health claim and Death Claim, Cancelled Cheque in case the hospital staff inform that the insured have never been treatment in their hospitals • Prepare Void letter ,Correct the address and detail in void letter before sent to the mailroom , Collect EMS tracking and record received date of void letter 7 days after send void • Prepare void cheque and sent to the insured • Prepare and send Time extension letter and Memo to the insured for Health claim and Death Claim • Take care Void file by keep in SST boxes then sent to collect at Subsrithai company and support other teams in need void file (Filing control) • Sending the email inform POS team in case void policy to cancelled policy ,refund premium or recovery premium. • Receive and check all claim documents that sent from customers, agencies, hospital network and bank assurance partners and distribute to related team. • Register Claim both of Health and Death claims into excel file and record in AS400 system. • Coordinate with other team and taking the information to support claim team , Sale team or Agent • Prepare Fax claim document and coordinate with hospital network team in case of more document request. • Assess claim for Pre-arrangement (Form 1) in fax claim team and receive hotline call . • Support bank assurance partners of queries or issue in deny case. • Request loan installment and loan closing from bank assurance partners

ตำแหน่งงาน : Claim Administrator

ระยะเวลา : พฤษภาคม 2560  ถึง กรกฎาคม 2560

รายละเอียดงาน :

• Register Death Claim & Reimburse Claim • Manual Letters (All kind of letters and Memo Death Claim) • Receive cheque • Received document • Dairy report

2558

ตำแหน่งงาน : Underwriter Administrator

ระยะเวลา : พฤศจิกายน 2558  ถึง พฤษภาคม 2560

รายละเอียดงาน :

• Prepare document that need to request APS • Payment Issuing checks Refund premium payments overpaid and cases of refusing guarantees to customers • Payment for health examination fees to hospitals and customers • Key the application in the system and check the information in the application