Medical Claims Analyst with Thai Proficiency
4 days ago
About This Role
We are looking for a highly skilled Claims Specialist with Thai language skills to join our team. As a Claims Specialist, you will be responsible for critical analysis and processing of claims for medical expenses within the fixed turnaround time.
Key Responsibilities
This role involves:
- Critical analysis and processing of claims for medical expenses within the fixed turnaround time.
- Accurate data input to the system applications.
- Positioning himself/herself analytically and critically in the context of cost management and in respect of existing working methods.
- Following up his/her own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions.
- Participate efficiently in processing the flow of claims: inform the Team Leader about claims lacking clarity and about possible ways of optimizing the processes.
- A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators.
- Providing accurate communication about a dossier to the interested internal employee.
- Tracking irregularities in procedures and highlighting these to the Team Leader.
- Raising problems or sensitivities with your superior.
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