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Thai Claims Officer

Job Description


Our client is a global insurance company located in Dublin who is looking for Thai Claims Officer to join its growing Medical Services department.


Key Responsibilities

  • Adjudicate and process Claims within the agreed company SLA – clear to zero, in accordance with policy benefits to facilitate the company achieving its loss ratio target
  • Use company’s client database, Gulliver, accurately and effectively to ensure reports generated give a true reflection of the department’s workload, which consequently facilitates effective target planning
  • Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention
  • Contribute to the team and departmental productivity targets so that the agreed SLA is achieved and a high level of customer service is provided.
  • In line with the company’s policy on cost containment identify duplicate payments, possible non-disclosure and fraudulent claims
  • Respond to customer enquiries accurately and professionally and if necessary, liaise with other departments for support to ensure an efficient and professional response is given thereby achieving customer satisfaction
  • Participate in departmental medical training to expand knowledge of medical terminology and procedures and to develop comprehensive claims processing skills
  • This role involves shift work
  • Other Ad hoc duties as required


Experience Required

  • Previous experience in a customer focused role, in an administrative capacity
  • Experience working in pressurized environment with tight deadlines
  • Fluency in English plus a second language Thai is essential to this role


Behavioral Competencies

  • Customer focused
  • Strong communication (verbal & written)
  • Ability to work effectively within a team environment
  • Honesty and Integrity
  • Ability to work under pressure
  • Results driven and solution oriented


Technical Competencies

  • Strong Knowledge of Microsoft Office (Excel, Word)


Due to the nature of the role, only candidates with valid EU work permit can be considered

Ref: 475


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