Consultant Jobs In Thailand 🇹🇭

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AXA Insurance Public Company Limited
AXA Insurance Public Company Limited
Thailand | Bangkok
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Last updated 2 weeks ago
SoftwareOne
SoftwareOne
Thailand | Bangkok
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Last updated 1 week ago
Deloitte Touche Tohmatsu Jaiyos Co., Ltd.
Deloitte Touche Tohmatsu Jaiyos Co., Ltd.
Thailand | Bangkok
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Last updated 1 week ago
SIAM FIBERGLASS COMPANY LIMITED
SIAM FIBERGLASS COMPANY LIMITED
Thailand | Bangkok
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Last updated 3 weeks ago
G-Able Company Limited
G-Able Company Limited
Thailand
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Last updated 1 week ago
SCG
SCG
Thailand | Bangkok
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Last updated 3 weeks ago
Deloitte Touche Tohmatsu Jaiyos Co., Ltd.
Deloitte Touche Tohmatsu Jaiyos Co., Ltd.
Thailand | Bangkok
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Last updated 1 week ago
SoftwareOne
SoftwareOne
Thailand | Bangkok
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Last updated 5 days ago
Chevron
Chevron
Thailand
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Last updated 4 days ago

Medical Consultant (Health Claims Team)

AXA Insurance Public Company Limited (Sathorn)
Sathorn
Bangkok, Thailand 🇹🇭
AXA Insurance Public Company Limited, is committed to supporting our customers to achieve stability and prosperity through providing a comprehensive range of services in motor, personal accident, travel, health, property and marine, etc. It is our inherent responsibility to support the communities we operate in, hence creating a sustainable business via constant and considerable contribution in the dimensions of health, environment and the community. AXA values equal employment opportunity. We are committed to promote Diversity and Inclusion (D&I) by creating a work environment where all employees are treated with dignity, respect, and where individual differences are valued. We welcome and treasure diverse profiles to join our family, and to build an inclusive culture together which allows everyone to maximize their full potential.

About this position

The incumbent is responsible for monitoring and controlling both Claims Handlers and TPA to ensure smooth claims operations, achieve the company’s objectives, and increase customer satisfaction.

Responsibilities

• Provide medical consultation to related Claims Team Members for eligibility validation.
• Support fraud detection, handle complex cases, hospital admissions, complaint cases, and denied claims.
• Justify medical decisions within authority limits on any medical claim.
• Monitor, review, and audit TPA or hospital claim management processes.
• Generate claims operational reports as per sales/broker requirements.

Requirements

• Bachelor's degree of Nursing Science or Medical Background.
• At least 3 years of health claim experience.
• Proficient to work with Microsoft Office (Words,Excel).
• Excellent communication skill, well organized and eager to learn.
• Good command of English both of writing and speaking.