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Job Requirment

  • Position:

    Claims

    Occupation:

    Insurance

    Sub Occupation:

    Claims Officer

Job Location

Bangkok (All)

Latest Salary

35,000 - 35,000 THB

Job Type

Full time

Availability

within 30 days

Working Bangkok

Yes

Education

2012 - Prince of Songkla University

Faculty:Hospitality and Tourism
Major:Tourism Management
GPA 2.79 - Bachelor's Degree

Experience/ Internship

November 2015 to Present  (11 Year)
  • Last Position:
  • International Claims Consultant
  • Business Type:
  • Insurance

Job Description

  • QA & Operational Compliance: Conduct quality reviews on high-value claims exceeding team settlement authorities to identify financial leakage and mitigate risks, ensuring all operations align with company profitability goals - Technical Reference & Escalation: Serve as a point for team inquiries on complex scenarios. Effectively manage escalated cases to identify root causes and ensure timely, accurate resolutions - Policy Interpretation: Review policy coverage, exclusions, sub-limits, and conditions to assess claim eligibility and underwriting intent - Claim Adjudication: Evaluate high-exposure international medical claims up to AUD 30,000, exercising AUD 15,000 settlement authority under strict financial controls and in accordance with policy conditions and established underwriting guidelines - Risk Awareness & Detection: Identify potential non-disclosure, policy breaches, and misrepresentations to ensure valid and factually correct claim outcomes - Cross-Functional Liaison: Collaborate with Customer Support, Finance, and Policy Management teams to resolve complex cases, ensuring seamless service delivery and financial accuracy
July 2013 to July 2015  (2 Year 1 Month)
  • Last Position:
  • Guest Service Agent
  • Business Type:
  • Hotel / Resort / Spa / Golf Club

Job Description

  • Addressed guest inquiries and resolved service-related issues in a high-volume, multicultural environment - Partnered with internal departments to facilitate prompt issue resolution and effective service recovery - Handled sensitive and escalated situations with professionalism, demonstrating strong communication and problem-solving skills

Hard Skill

  •  - Policy & Contractual Analysis / Beginner
  •  - Quality Assurance & Audit / Beginner
  •  - Cross-functional Collaboration / Beginner
  •  - Risk Awareness & Detection / Beginner
  •  - Complex Claim Adjudication / Beginner
  •  - Technical Advisory / Beginner

Language skills

  • Speaking

  • Listening

  • Reading

  • Writing

  • English
  • Medium
  • Good
  • Good
  • Good
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