[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"job-specialist-azay-claim-reimbursement-allianz-insurance-en-th":3},{"id":4,"slug":5,"title":6,"description":7,"company":8,"is_featured":12,"featured_until":7,"is_active":13,"deactivated_at":7,"is_enriched":13,"processed_job_posting_json":14,"processed_latitude":61,"processed_longitude":62,"processed_employment_types":63,"processed_working_hours":64,"processed_working_hours_labels":66,"processed_home_office":67,"processed_salary_min":58,"processed_salary_max":59,"processed_salary_currency":55,"processed_salary_source":68,"processed_benefits":69,"processed_benefits_labels":70,"processed_industry":71,"processed_skills":7,"processed_job_location":72,"processed_full_address_gmaps":74,"processed_street_gmaps":75,"processed_city_gmaps":76,"processed_postal_code_gmaps":77,"processed_country_gmaps":79,"processed_country_iso_code_gmaps":81,"full_description":17,"formatted_description":82,"processed_employment_types_labels":35,"processed_home_office_labels":33,"processed_industry_labels":37,"processed_it_skills":83,"processed_it_skills_labels":86,"processed_soft_skills":87,"processed_soft_skills_labels":88,"processed_job_expertise_skills":89,"processed_job_expertise_skills_labels":91,"processed_language_requirements":92,"processed_total_experience_years":85,"processed_professional_field":99,"processed_professional_field_labels":102,"processed_leadership_role":12,"processed_date_posted":20,"raw_job_url":103,"apply_url":7,"raw_hiringOrganization_logo_url":7,"translations":7,"canonical_industry_key":71,"canonical_industry_label":37,"max_cpc":104,"actual_cpc":7},70888,"specialist-azay-claim-reimbursement-allianz-insurance","Specialist - AZAY Claim Reimbursement",null,{"name":9,"slug":10,"logo_url":11},"Allianz Insurance","allianz-insurance","https:\u002F\u002Fcdn.phenompeople.com\u002FCareerConnectResources\u002FAISAIPGB\u002Fimages\u002FHeader-1706868786965.svg",false,true,{"@context":15,"@type":16,"title":6,"description":17,"hiringOrganization":18,"datePosted":20,"validThrough":21,"jobLocation":22,"jobLocationType":33,"employmentType":34,"industry":36,"skills":38,"baseSalary":53},"https:\u002F\u002Fschema.org\u002F","JobPosting","\u003Cp style=\"line-height: 10pt; margin: 0cm 0cm 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cstrong>\u003Cspan style=\"font-size: 12.0pt;\">Role Overview\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp style=\"line-height: 12pt; margin: 0cm 0cm 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">The Specialist – Claim Reimbursement is responsible for supporting end‑to‑end claims assessment for reimbursement and OPD cashless claims. This role ensures timely, accurate, and compliant claim decisions, manages complex cases, monitors pending workloads, and collaborates with internal stakeholders to uphold operational standards and service excellence.\u003C\u002Fspan>\u003C\u002Fp>\u003Cdiv style=\"line-height: 10pt; margin: 0cm 0cm 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Chr align=\"left\" size=\"2\" width=\"100%\">\u003C\u002Fdiv>\u003Cp style=\"line-height: 10pt; margin: 0cm 0cm 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cstrong>\u003Cspan style=\"font-size: 12.0pt;\">Key Responsibilities\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp style=\"line-height: 10pt; margin: 0cm 0cm 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">1) Claims Reimbursement\u003C\u002Fspan>\u003C\u002Fp>\u003Cul style=\"margin-top: 0cm; margin-bottom: 0cm;\" type=\"disc\">\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Support the team in investigating and making claim assessment decisions.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Approve claim payments in accordance with authorization limits.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Perform claim rejection when criteria are not met.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Request additional information or documentation when required.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Issue memos in the system to support administrative processing.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Submit cases for further investigation when necessary.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Request hospital medical records to support claim review.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Continuously monitor, review, and make decisions on pending or backlogged reimbursement cases.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Consolidate complex cases and prepare documentation for Claim Committee and COO\u002FCEO for decision‑making based on authorization guidelines.\u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Ful>\u003Cp style=\"line-height: 10pt; margin: 0cm 0cm 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">2) Hospital Assessment – OPD Cashless\u003C\u002Fspan>\u003C\u002Fp>\u003Cul style=\"margin-top: 0cm; margin-bottom: 0cm;\" type=\"disc\">\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Handle OPD cashless claims submitted by hospitals.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Perform investigation and make claim decisions for OPD cashless cases in the system.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Approve claim payments according to authorization levels.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Perform rejection for fax‑submitted claims when applicable.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Request additional information as needed to complete assessment.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Issue memos in the system for administrative follow‑up.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Submit cases for further investigation when necessary.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Request hospital records and supporting documents.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Monitor and decide on pending OPD cashless cases and backlog items.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Manage and present complex OPD cashless cases requiring Claim Committee decisions.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Ensure claim approvals are accurate, timely, and aligned with service-level agreements (SLAs).\u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Ful>\u003Cdiv style=\"line-height: 10pt; margin: 0cm 0cm 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Chr align=\"left\" size=\"2\" width=\"100%\">\u003C\u002Fdiv>\u003Cp style=\"line-height: 10pt; margin: 0cm 0cm 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cstrong>\u003Cspan style=\"font-size: 12.0pt;\">Must Have Qualifications\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\u003Cul style=\"margin-top: 0cm; margin-bottom: 0cm;\" type=\"disc\">\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Bachelor’s degree in Nursing Science, Medical Technology, or related field.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Minimum 3 years of experience as a Claims Assessor or in relevant functions within the insurance industry.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Strong knowledge and understanding of nursing\u002Fmedical concepts, insurance claim regulations, policies, and guidelines.\u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Ful>\u003Cdiv style=\"line-height: 10pt; margin: 0cm 0cm 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Chr align=\"left\" size=\"2\" width=\"100%\">\u003C\u002Fdiv>\u003Cp style=\"line-height: 10pt; margin: 0cm 0cm 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cstrong>\u003Cspan style=\"font-size: 12.0pt;\">Nice to Have\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\u003Cul style=\"margin-top: 0cm; margin-bottom: 0cm;\" type=\"disc\">\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Strong attention to accuracy and detail.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Experience in claims or CRM systems.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Ability to prioritize claim‑related tasks efficiently.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Proficiency in MS Office, especially Advanced Excel, PowerPoint, Power BI, and other data software tools.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"line-height: 10pt; margin-top: 0cm; margin-right: 0cm; margin-bottom: 10pt; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"font-size: 12.0pt;\">Familiarity with AI‑related tools (e.g., ChatGPT, Microsoft Copilot 365) is an advantage.\u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Ful>",{"@type":19,"name":9},"Organization","2026-09-01","2027-09-01",[23],{"@type":24,"address":25,"geo":29},"Place",{"@type":26,"addressLocality":27,"addressCountry":28},"PostalAddress","Bangkok","TH",{"@type":30,"latitude":31,"longitude":32},"GeoCoordinates",13.78333,100.51667,"ONSITE",[35],"PERMANENT",[37],"Insurance",[39,40,41,42,43,44,45,46,47,48,49,50,51,52],"Microsoft Excel","Microsoft PowerPoint","Power BI","CRM Systems","AI Tools (e.g., ChatGPT, Microsoft Copilot 365)","Attention to Detail","Prioritization","Collaboration","Claims Assessment","Insurance Claim Regulations","Medical Knowledge","Claims Processing","OPD Cashless Claims","Service Level Agreements (SLAs)",{"@type":54,"currency":55,"value":56},"MonetaryAmount","EUR",{"@type":57,"minValue":58,"maxValue":59,"unitText":60},"QuantitativeValue",40000,60000,"YEAR",[31],[32],"permanent",[65],"FULL_TIME",[65],"onsite","estimated",[],[],"insurance",[73],"allianz, 10330, bangkok, thailand",[],[],[27],[78],"10330",[80],"Thailand",[28],"## Role Overview\n\nThe Specialist – Claim Reimbursement is responsible for supporting end‑to‑end claims assessment for reimbursement and OPD cashless claims. This role ensures timely, accurate, and compliant claim decisions, manages complex cases, monitors pending workloads, and collaborates with internal stakeholders to uphold operational standards and service excellence.\n\n## Key Responsibilities\n\n1) Claims Reimbursement\n\n- Support the team in investigating and making claim assessment decisions.\n- Approve claim payments in accordance with authorization limits.\n- Perform claim rejection when criteria are not met.\n- Request additional information or documentation when required.\n- Issue memos in the system to support administrative processing.\n- Submit cases for further investigation when necessary.\n- Request hospital medical records to support claim review.\n- Continuously monitor, review, and make decisions on pending or backlogged reimbursement cases.\n- Consolidate complex cases and prepare documentation for Claim Committee and COO\u002FCEO for decision‑making based on authorization guidelines.\n\n2) Hospital Assessment – OPD Cashless\n\n- Handle OPD cashless claims submitted by hospitals.\n- Perform investigation and make claim decisions for OPD cashless cases in the system.\n- Approve claim payments according to authorization levels.\n- Perform rejection for fax‑submitted claims when applicable.\n- Request additional information as needed to complete assessment.\n- Issue memos in the system for administrative follow‑up.\n- Submit cases for further investigation when necessary.\n- Request hospital records and supporting documents.\n- Monitor and decide on pending OPD cashless cases and backlog items.\n- Manage and present complex OPD cashless cases requiring Claim Committee decisions.\n- Ensure claim approvals are accurate, timely, and aligned with service-level agreements (SLAs).\n\n## Must Have Qualifications\n\n- Bachelor’s degree in Nursing Science, Medical Technology, or related field.\n- Minimum 3 years of experience as a Claims Assessor or in relevant functions within the insurance industry.\n- Strong knowledge and understanding of nursing\u002Fmedical concepts, insurance claim regulations, policies, and guidelines.\n\n## Nice to Have\n\n- Strong attention to accuracy and detail.\n- Experience in claims or CRM systems.\n- Ability to prioritize claim‑related tasks efficiently.\n- Proficiency in MS Office, especially Advanced Excel, PowerPoint, Power BI, and other data software tools.\n- Familiarity with AI‑related tools (e.g., ChatGPT, Microsoft Copilot 365) is an advantage.",{"power bi":84,"crm systems":84,"microsoft excel":85,"microsoft powerpoint":84,"ai tools (e.g., chatgpt, microsoft copilot 365)":84},2,3,[39,40,41,42,43],{"attention to detail":85,"prioritization":85,"collaboration":85},[44,45,46],{"claims assessment":90,"claims processing":90,"medical knowledge":90,"opd cashless claims":90,"insurance claim regulations":90,"service level agreements (slas)":85},4,[47,48,49,50,51,52],{"detected_language_jobad":93,"required":94},"en",[95],[96],{"language":97,"level":98},"ENGLISH","C1",[100,101],"Business and Administration","Health",[100,101],"https:\u002F\u002Fcareers.allianz.com\u002Fglobal\u002Fen\u002Fjob\u002F104753\u002Fspecialist-claim-direct-reimbursement",1]