52mo ago

Nurse Assessor

TH·Bangkokmid

HealthcareNurse

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Quick Summary

Overview

Your everyday Daily monitoring of all medical claims.

Technical Tools

HealthcareNurse

Daily monitoring of all medical claims.
Manage the expectation of customers in line with Company’s direction
Verifying claims documents vs policy terms & conditions to ensure genuineness of claim within policy coverage
Coordinate between customers, service providers to ensure excellent service
Coordinating with Accident & Health team for medical opinion and claim approval & ensure targeted turnaround time is achieved
Performing medical contact to gather information from hospitals/medical center
Explaining medical problems to patients or their families
Reviewing the treatment provided by hospitals is relevant to the case and in appropriate price
Flag irregular/fraudulent/exaggerated claims to superior for further action
Liaising with hospitals with a view to eliminating unnecessary or irrelevant treatment, over-servicing, over-charging and cost-containment
Evaluating customer’s condition and arranging proper assistance to claimant
Handling e-mail & all communication channels within targeted timeline
Prepare weekly reporting on TAT, outstanding & repudiated cases
Any other task/responsibility assigned by superior

1-2 years of nursing or nurse claim assessor experience.
Experience working under the Insurance department in the hospital or insurance and broker will be a big plus.
Have a flexible schedule and must be able to work in shifts which may include night schedule and weekend.
Able to work in commercial environment and fast moving business
Good interpersonal and communication skills
Computer literacy is essential
Self-motivated, result oriented, ability to work under pressure, creative and energetic
Willing to learn and can do attitude

Location & Eligibility

Where is the job

Bangkok, TH

On-site at the office

About this job

Posted: 1565 days ago
Employer: has 23 open jobs on Jobera in 2 countries.

Listing Details

Posted: August 3, 2022
First seen: October 28, 2026
Last seen: November 15, 2026

Posting Health

Days active: 17
Repost count: 0
Trust Level: 27%
Scored at: November 15, 2026

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Apply for this position

Sunday is a fully-integrated insurtech company based in Southeast Asia that uses AI and machine learning to provide personalized health, motor, and travel insurance.

Employees

201-500

Domain

Jobs

View 23 jobs

View company profile

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