Claims Assessor
LUMA Care Co., Ltd.- Review bills from hospital network.
- Act proactively and follow up cases.
- Enter diagnosis and service codes into the core insurance system for direct billing and reimburse claims.
- Communicate with all key stakeholders in the claims process (members, hospitals, insurers, medical director, reinsurers)
- Provide consultation for medical-related queries for all Luma products.
- Provide medical expertise in the review of the client’s medical records.
- Ensure rules and regulations compliance by following company policies, procedures, guidelines as well as basic federal insurance regulations.
- Assist with other operational tasks.
- Medical background (Preferable)
- Experience in health field, insurance or related field preferred
- Office work experience
- Excellent communication skills in Thai and English
- Computer skills
- Detail-oriented
- Sound judgement and able to analyze and prioritize assignments
- Good organizational skills
- High tolerance to pressure
High customer-oriented mind
- Dental insurance
- Flexibility
- Life insurance
- Provident Fund
- Staff training and development
- Work from home
- 5-day work week
- Social security
- Health insurance
- Annual trip or party