Specialist Claim Hospital Fax (Claim Assessor)

Allianz
Bangkok
Workplace: OnsiteFull timeFunction: Solutions Engineering & Sales EngineeringEducation: bachelorsSkills: ["Accuracy","Detail orientation","Prioritization","Leadership","Supervision","Consultation"]

Support the claims team by processing hospital fax and OPD cashless claims. Review fax claim documents, record details in the system, investigate each case, and make decisions to approve, reject, request additional information, or submit for further investigation. Continuously monitor pending/backlog cases and consolidate complex claims for Claim Committee decisions, while producing daily/monthly reporting and providing medical consultation to junior claim assessors.

Loading

Loading job details...

Preparing the role view and application actions.

FursaFursa
Allianz
Allianz
18 hours ago

Specialist Claim Hospital Fax (Claim Assessor)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 18 hours agoStatus: Live

Job Summary

Support the claims team by processing hospital fax and OPD cashless claims. Review fax claim documents, record details in the system, investigate each case, and make decisions to approve, reject, request additional information, or submit for further investigation. Continuously monitor pending/backlog cases and consolidate complex claims for Claim Committee decisions, while producing daily/monthly reporting and providing medical consultation to junior claim assessors.
Location: Bangkok
Workplace: Onsite
Employment Type: Full time
Job Function: Solutions Engineering & Sales Engineering
Seniority: Mid level

Key Responsibilities

  • •Handle fax claims received from hospitals by supporting the claims team in processing.
  • •Check fax claim documents, record information into the system, and investigate to approve, reject, or request additional information.
  • •Issue memos into the system for administration steps and submit cases for further investigation when needed.
  • •Continuously monitor pending OPD cashless and fax claim cases to reduce backlog.
  • •Consolidate complex cases for Claim Committee decisioning, support reporting on volume/turnaround time, and provide medical advice to junior claim assessors.

Key Requirements

  • •Bachelor’s or master’s degree in business administration, Nursing, Medical Technology, or a related field.
  • •At least 2 years of experience as a claims assessor or in related insurance industry roles.
  • •Strong accuracy and detail orientation for claim processing.
  • •Experience using claims/CRM systems and ability to prioritize claim-related tasks.
  • •Knowledge of MS Office (Excel, PowerPoint) and familiarity with data tools like Power BI is advantageous.
Experience:InsuranceClaimsClaims processing
Education:Bachelor's
Skills:AccuracyDetail orientationPrioritizationLeadershipSupervisionConsultation
Tech Stack:Claims/CRM systemsMS OfficeExcelPowerPointPower BIChatGPTCoPilot365

Company Brief

Allianz
Global insurance and financial services group offering property-casualty insurance, life and health insurance, asset management, and corporate risk solutions to individuals, businesses, and institutions across more than 70 countries.
Industry: Insurance
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: Munich, Germany
Founded: 1890
WebsiteLinkedIn