Job Description

Nice to know

This position is assigned to provide investigation support services to Claim Assessor, Pre-authorization team and Underwriting team. This position will plan the investigation cases and resources to ensure that the investigation cases are performed in timely manner. And provides administration support for policy voidance.

Your Day at Allianz Ayudhya

1) Investigation

• Select the location for investigation to investigate administration team for checking and request medical history from selected hospitals.
• Review medical histories and report back to owners (Claim team, Pre-authorization team, Underwriting team) for further assessment

2) Administration Support

• Support for claim consulting from Claim team, Sale team, CS team etc.
• Support for medical training to claim team (CPU1, CPU2, ASO, Fax claim)

3) Policy voidance

• Review and summary medical history
• Propose case to claim management for policy voidance
• Prepare void letter
• Inform membership team to refund premium
• Explain void reason to customer and related parties (If any)

Must Have

• Degree in Nursing Science, Business of Sciences (Medical Technology), or related field
• Minimum 5 Years of experience in Claims Assessor or other related fields in insurance industry
• Experience of claims workflow, systems and Prioritization & Queue management
• Strong medical knowledge

Nice to Have

• Ability to prioritize claim related functions
• Attention to Detail (Accuracy Control)
• Fraud / Abuse Awareness
• MS Office: MS Word, Excel, PowerPoint, Outlook, SharePoint
• Any AI-future skills e.g., ChatGPT, or CoPilot365, will be advantage.

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges is what makes us a unique employer. We are united by a shared commitment: to put our customers first and at the centre of everything we do. Their needs inspire our thinking and guide our actions. Together, we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future – for our customers and for the world around us. At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture. We therefore welcome applications regardless of ethnicity or cultural Internal background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Join us. Let's care for tomorrow.