Specialist - Claims Non Motor - Health at Allianz Global Corporate & Specialty SE

Bangkok, , Thailand -

Full Time

Start Date

Immediate

Expiry Date

10 Jan, 26

Salary

0.0

Posted On

12 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Processing, Data Analysis, Claims Management, CRM Systems, Claims Auditing Software, Project Management Tools, MS Office, Data Analytics Software, Visualization Tools, Cloud-Based Tools, Machine Learning, Robotic Process Automation, AI Skills, Communication, Investigation, Problem Solving

Industry

Financial Services

Description

Job Summary/responsibilities: Responsible for Retail or Package Product claims processing by determining the validity of claims, identifying the needs for further investigation, and following claims through settlement in accordance to claims processing guidelines to achieve proclivities and service commitment Review Retail or Package Product claims cases to determine validity and verification of coverage within own assigned authority; identify the need for further investigation and subsequent settle claims by acceptance or denial payment in accordance to claims processing guidelines contract provision to ensure accuracy of claims settlement Prepare over authority claims cases to superior for review and approval Review pending cases and contact the medical providers and concerned parties to obtain information necessary to properly act upon claims processing adeemed appropriate. Work on paperless to ensure efficiency and completeness of claim process according to the company’s policy and targets Acquire and improve own knowledge and skills from both internal and external sources to ensure your own work’s quality and continuous improvement Qualification: Bachelor’s degree in any field At least 2 years’ experience in claim operation/management from general insurance company Experience in using claims/CRM systems Experience in data collection, evaluation, and interpretation Knowledge of Claims Auditing Software (e.g. Oracle Insurance Claims, Xactimate, Claim Centre etc.) Knowledge of collaborative project management tools (e.g. Trello, JIRA, Asana etc.) Knowledge of MS Office products (especially MS Excel) Knowledge of data analytics software for insurance (e.g. Quan template, Reliable Software) Experience in data analysis and visualization as well as interpreting KPIs (e.g. PowerBI, Tableau) Experience with cloud-based tools (e.g. Microsoft Azure, AWS) Knowledge of machine learning and robotic process automation (RPA) technologies Any AI-future skills e.g., ChatGPT, or CoPilot365, will be advantage. Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust. We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations. Join us. Let's care for tomorrow.

Responsibilities

Responsible for processing Retail or Package Product claims by determining their validity and following them through settlement. Review claims cases, contact medical providers for information, and prepare over authority claims for superior review.