Job Description
Job Description:
Major Claims Production
Assess and approve contestable cases under authority correctly
Handle cases with more high SA and complicated
Assess and approve all major claims of all insurance products include special request regarding the given authority
Responsible to make decision for refer and consult case from junior assessors, Accident & Health claim assessor (outsource) in point of major claim perspective
Monitor & audit to ensure all deliverables with accuracy and appropriate Claims decision
Accident & Health Claims Production
Assess and approve with respect to both new and referred health & accident claim cases include special request regarding the given authority
Supervise and motivate technical assessors (supervisor level) to complete claim process within service level agreement and less MEMO pipeline with the good sense of risk assessment
Monitor & audit to ensure all deliverables with accuracy and appropriate Claims decision
Compliance & Process management
Monitor the compliance of claim assessment guideline
Monitor and take action on pending of claims within 90 days
Contribute to system improvement project and other assignments from managers to deliver results as expected within the timeline
Maintain the procedure and process to be aligning with contract provision and comply with company and regulator’s rules
Qualifications:
Bachelor's degree in Nursing
At least 5 years of working experience in Life Insurance and Claims
Capable to communicate in both writing and speaking Thai and English
Negotiate and handle issues with external and internal parties
Problem solving & Decision Making
Motivate people to work under limitation and pressure
Organize and balance workload
About Krungthai-AXA Life Insurance Krungthai-AXA Life Insurance Public Company Limited, created from a solid co-investment partnership between Krungthai Bank PCL. and the AXA Group, global financial protection and asset-management specialists.
The trademark of Krungthai-AXA Life Insurance is designed to indicate the combination of the two corporations. Krung Thai Bank PCL. and AXA Group logos are aligned with Thai characters displaying the company name as Krungthai-AXA Life Insurance placed above the red line and the new company signature. Redefining/Life Insurance.
Today Krungthai-AXA Life Insurance Public Company Limited is a fast-growing life insurance company with a vision – Ambition AXA.
Our Company Benefits
- Employee and Family Health Insurance Benefits
- Life and Accident Insurance Benefits
- Hybrid Working and Flexible Working Hours
- Annual Leave & Birthday Leave
- Salary Increment & Bonus
- Digital Learning - Self Learning Organization
- Annual Health Check up
- Provident Fund
- Flexible Benefits