Sr. Specialist - Claim Reimbursement (direct)

Allianz
Bangkok
Full timeFunction: Marketing & GrowthExperience: 5+ yearsSkills: ["Accuracy","Detail orientation","Prioritization"]

Support the Claims Reimbursement team by investigating claims assessments and making payment or rejection decisions based on authorization. Handle OPD cashless hospital claims, perform investigations, request additional information and hospital records, and issue system memos for next steps. Monitor pending cases and backlogs, consolidate complex cases for Claim Committee decision-making, and ensure claim approvals are accurate, timely, and aligned with SLAs.

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FursaFursa
Allianz
Allianz
1 week ago

Sr. Specialist - Claim Reimbursement (direct)

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Source: Company careers pageValidated by: Fursa AI
Last checked: 22 hours agoStatus: Live

Job Summary

Support the Claims Reimbursement team by investigating claims assessments and making payment or rejection decisions based on authorization. Handle OPD cashless hospital claims, perform investigations, request additional information and hospital records, and issue system memos for next steps. Monitor pending cases and backlogs, consolidate complex cases for Claim Committee decision-making, and ensure claim approvals are accurate, timely, and aligned with SLAs.
Location: Bangkok
Employment Type: Full time
Job Function: Marketing & Growth
Seniority: Mid level

Key Responsibilities

  • •Support claims assessment decisions, including approving payments and rejecting claims reimbursement based on authorization.
  • •Investigate and decide OPD cashless hospital claims received in the system.
  • •Request additional information and hospital records as needed, and issue system memos for next steps.
  • •Continuously monitor pending claims cases and manage backlogs.
  • •Consolidate complex cases, present them for Claim Committee/COO/CEO decisions as authorized, and handle approvals to meet SLAs.

Key Requirements

  • •Degree in business administration, Nursing, Business Sciences (Medical Technology) or related field.
  • •Minimum 5 years of experience as a Claims Assessor or in other related roles in the insurance industry.
  • •Experience/knowledge in nursing, medical, claim insurance topics, regulation, policy, and guidelines.
  • •Ability to manage and prioritize claim-related functions.
  • •Experience using claims/CRM systems.
Experience:5+ yearsInsurance
Skills:AccuracyDetail orientationPrioritization
Tech Stack:MS OfficeExcelPowerPointPower BI

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