Your Day at Allianz Ayudhya

1) Document Management & Data Entry

- Receive the documents related to claims, and distribute to the relevant parties with accuracy and in timely manner

- Perform data entry for Claim Reimbursement and Hospital assessment

- Support team to handling and keeping the claims related documents2) Allianz Ayudhya Care Hospital Network and Medical Claim Analysis

• On-site and internal reviews and utilization survey with clients to evaluate services received and documents evidence through interview/investigative reports as assigned.
• Communicate with hospital networks to resolve instances of inappropriate utilization
• Prepare the Abuse/Miss utilization Report to management

2) Claims Approval

- Support team to investigate and make decision for Group claim’s hospital assessment in the system

- Support team in preparing and submitting the payment reports of Claims Reimbursement, Hospital assessment, and Claims Hospital Fax to Finance & Accounting in order to issue cheque or transfer money

- Claims Hospital Fax

- Receive the documents from Claim Hospital Fax

- Check the correctness and completeness of documents, approved amount by comparing with the amount in document

- Edit hospital’s discount in the system

- Prepare payment correspondent letter with tax deduction documents to hospitals, after payment transactions

- Claims Reimbursement: Prepare and submit letter to customers for claims reimbursement

- Collect and return the claim documents to customers/ hospitals for the cases rejected

- Support team in performing the actions in case of additional information required

- Issue memo into the system for administration in performing next steps

-  Submit to investigation

-  Request the hospital record from hospital

Must Have

• Bachelor’s Degree in Business Administration, or other related field
• 0 to 2 years of experience in Claims Administration, Underwriting Administration , or other related fields in insurance industry