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)

Ref: 475