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Job Requirment

  • Position:

    Claims Assessor

    Occupation:

    Insurance

    Sub Occupation:

    Claims Officer

Interested business type

  • Insurance

Job Location

Bangkok (All)

Pathum Thani (All)

Latest Salary

39,000 - 45,000 THB

Job Type

Full time

Availability

within 30 days

Working Bangkok

Yes

Work Upcountry

Yes

Willing to work oversea?

Yes

Education

2020 - Thammasat University

Faculty:Allied Health Sciences
Major:Physical therapy
GPA 3.25 - Bachelor's Degree

Experience/ Internship

May 2024 to Present  (2 Year 4 Month)
  • Last Position:
  • Claims Assessor
  • Business Type:
  • Insurance

Job Description

  • - Review and process reimbursement claims for accuracy and compliance with insurance policies
  • - Verify supporting documents, including medical records and invoices.
  • - Assess medical necessity, coverage eligibility, and policy exclusions
  • - Communicate with clients and providers to clarify missing or incomplete documentation
  • - Apply policy terms, limits, and waiting periods correctly.
  • - Collaborate with stakeholders to resolve claim issues.
  • - Ensure compliance with company policies and industry regulations.
  • - Document assessments and handle claim appeals or escalations.
  • - Identify and suggest process improvements
January 2023 to April 2024  (1 Year 3 Month)
  • Last Position:
  • Coverage specialist
  • Business Type:
  • Insurance

Job Description

  • - Review and verify medical invoices for accuracy, ensuring compliance with contracts and insurance policies.
  • - Confirm patient information, coverage, and authorize treatments per policy guidelines.
  • - Record medical expenses and benefit payments accurately.
  • - Resolve billing issues and customer concerns for timely payments.
  • - Liaise with hospitals and insurers to address coverage and billing discrepancies.
January 2020 to January 2021  (1 Year)
  • Last Position:
  • Physical Therapy

Job Description

  • - Conduct thorough patient evaluations to assess needs, develop tailored treatment plans, and deliver effective therapy sessions while ensuring accurate maintenance of medical records, including detailed expense calculations.
  • - Oversee the clinic's Facebook page by engaging with customers, promptly responding to inquiries, and creating informative physical therapy content. Additionally, organize and promote sports therapy workshops to enhance community involvement and awareness.

Hard Skill

  •  - Verify supporting documents, including medical records and i / Beginner
  •  - Lymphatic drainage / Beginner
  •  - Muscle energy technic / Beginner
  •  - Assess medical necessity, coverage eligibility, and policy e / Beginner
  •  - Manipulation / Beginner
  •  - Document assessments and handle claim appeals or escalations / Beginner
  •  - Apply policy terms, limits, and waiting periods correctly. / Beginner
  •  - Identify and suggest process improvements. / Beginner
  •  - Ensure compliance with company policies and industry regulat / Beginner
  •  - Communicate with clients and providers to clarify missing or / Beginner

Soft Skill

  •  - Detail oriented
  •  - Analyze complex technical information
  •  - Excellent problem solver
  •  - Critical Thinking
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