Senior Claim Assessor
Generali Insurance (Thailand) Public Company LimitedTo simplify the claim process and eliminate manual work.
To increase operational efficiency by digitalization, automation, and artificial intelligence
To deliver excellent customer’s experience.
To contain the cost of claims through fraud fighting and leakage reduction.
To pay due claims within the agreed terms to customers and provider’s network
Ensure daily monitoring of backlogs and SLAs & backlog. Provide monthly reporting.
Maximize claim cost containment by leakage reduction (rejecting undue claim payments, voiding policies due to undisclosed conditions according to regulatory procedures) and fraud fighting. Measure results of all cost containment measures.
Measure and maximize each team member’s productivity by process optimization and technology adoption. Ensure the adequateness of the team skills to processes and services that the team must deliver by proper recruitment, training, and coaching strategy.
Communication with OIC and other external parties related to claims.
Handle complex cases and OIC, Court cases and make professional decisions. Complies with the terms and conditions of the policy.
Approve or decline claims according to the signatory authority defined by BoD
Provides medical advice to support claim staff, updates claim guidelines.
At least 10 years’ claim experience and claim administrationespecially in health and accident, Life, ASO claims for GTL and GTI.
3-5 years minimum working experience in claims manager and strong insurance knowledge.
Strong leadership and people management skill
Analytical skills, logical and initiative skills, good communication, service mind, proactive teamwork, ability to work under pressure.
Fluent in English both written and spoken
Outgoing personality positive attitude and strong contribution for teamwork
Can do attitude.
Good computer skill: Ms Office, Privot, Power Point
- Provident Fund
- ค่าทำฟัน
- Work from home
- 5-day work week
- Social security
- Health insurance
- เงินกองทุนสำรองเลี้ยงชีพ
- Performance/results-based bonus
- Annual bonus