[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"job-sr-specialist-pre-arrangement-admission-pre-authorization-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":66,"processed_longitude":67,"processed_employment_types":68,"processed_working_hours":69,"processed_working_hours_labels":71,"processed_home_office":72,"processed_salary_min":63,"processed_salary_max":64,"processed_salary_currency":60,"processed_salary_source":73,"processed_benefits":74,"processed_benefits_labels":75,"processed_industry":76,"processed_skills":7,"processed_job_location":77,"processed_full_address_gmaps":79,"processed_street_gmaps":80,"processed_city_gmaps":81,"processed_postal_code_gmaps":82,"processed_country_gmaps":84,"processed_country_iso_code_gmaps":86,"full_description":17,"formatted_description":87,"processed_employment_types_labels":35,"processed_home_office_labels":33,"processed_industry_labels":37,"processed_it_skills":88,"processed_it_skills_labels":91,"processed_soft_skills":92,"processed_soft_skills_labels":95,"processed_job_expertise_skills":96,"processed_job_expertise_skills_labels":97,"processed_language_requirements":98,"processed_total_experience_years":94,"processed_professional_field":105,"processed_professional_field_labels":107,"processed_leadership_role":12,"processed_date_posted":20,"raw_job_url":108,"apply_url":7,"raw_hiringOrganization_logo_url":7,"translations":7,"canonical_industry_key":76,"canonical_industry_label":37,"max_cpc":89,"actual_cpc":7},81843,"sr-specialist-pre-arrangement-admission-pre-authorization-allianz-insurance","Sr. Specialist - Pre-Arrangement & Admission (Pre-Authorization)",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":58},"https:\u002F\u002Fschema.org\u002F","JobPosting","\u003Cp style=\"margin: 0cm; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cstrong>\u003Cspan style=\"font-size: 12.0pt; line-height: 115%;\">Nice to know\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp style=\"margin: 0cm; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Responsible for managing the pre\u003C\u002Fspan>\u003Cspan style=\"line-height: 115%; font-family: 'Segoe UI Symbol', sans-serif; color: black;\">‑\u003C\u002Fspan>\u003Cspan style=\"line-height: 115%; color: black;\">arrangement process, including pre\u003C\u002Fspan>\u003Cspan style=\"line-height: 115%; font-family: 'Segoe UI Symbol', sans-serif; color: black;\">‑\u003C\u002Fspan>\u003Cspan style=\"line-height: 115%; color: black;\">approval for medical procedures and surgeries, to support the company\u003C\u002Fspan>\u003Cspan style=\"line-height: 115%; color: black;\">’\u003C\u002Fspan>\u003Cspan style=\"line-height: 115%; color: black;\">s hospital network. The position ensures accurate assessment of medical necessity and effective cost containment, particularly for provider package\u003C\u002Fspan>\u003Cspan style=\"line-height: 115%; font-family: 'Segoe UI Symbol', sans-serif; color: black;\">‑\u003C\u002Fspan>\u003Cspan style=\"line-height: 115%; color: black;\">price procedures. This role helps ensure customers receive appropriate benefit management aligned with customary pricing, while contributing to overall treatment cost control and business cost savings.\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"margin: 0cm; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cstrong>\u003Cspan style=\"font-size: 12.0pt; line-height: 115%;\">Your Day at Allianz Ayudhya\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp style=\"margin: 0cm; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">1) Reviews of claims and medical reports (medical indication assessment)\u003C\u002Fspan>\u003C\u002Fp>\u003Cul style=\"margin-bottom: 0cm; margin-top: 0px;\">\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Verify the eligibility of the claim by using and applying medical knowledge to pre-arrangement cases.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">In case of medical issues such as medical necessity for the procedures have to consult medical consultant team.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Applies all medical necessity guidelines (Thai Medical Practice Guidelines), determine coverage and apply all cost containment measures.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Sending the criteria checklist to consultant doctor\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">The conclusion and issuing the confirmation letter to hospital network within SLA (3 days) (complete documents)\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Control the cost-effectiveness of medical care and ensure that any new clinical procedures, drugs or technology are appropriate and safe for our customers.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Study and understand L&H policy & coverage to apply pre-arrangement part.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Coordinate with Internal team such as medical team, Claim team and External team such as utilization nurses from the hospital.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Summary monthly report in assigned area.\u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Ful>\u003Cp style=\"margin: 0cm; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">2) Collaboration process with Provider management team, Health Concierge, Health Solutions step as below;\u003C\u002Fspan>\u003C\u002Fp>\u003Cul style=\"margin-bottom: 0cm; margin-top: 0px;\">\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Screening the case which meets the criteria for collaboration project such as Preferred hospital, Premium Public hospital or package.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Package price checking of each provider.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">Provider (Hospital) negotiation.\u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Ful>\u003Cp style=\"margin: 0cm; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">3) Detects suspicious, fraud or abuse claim from hospital network and refer to Retrospective review and Concurrent review team.\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"margin: 0cm; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"line-height: 115%; color: black;\">4) Process Coding (ICD codes-ICD9, ICD10) based on medical procedures and the claim process.\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"margin: 0cm; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cstrong>\u003Cspan style=\"font-size: 12.0pt; line-height: 115%;\">Must Have\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\u003Cul style=\"margin-bottom: 0cm; margin-top: 0px;\">\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">Degree in Nursing Science\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">Minimum 3 years in nursing expirience.\u003C\u002Fli>\u003Cli style=\"margin: 0cm 0cm 0cm 0px; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">Nurse in critical units such as IPD (Surgery) ICU, OR and Fax Claim will be an advantage.\u003C\u002Fli>\u003Cli style=\"margin: 0cm -31.5pt 0cm 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"color: black;\">Experience in insurance related topics\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm -31.5pt 0cm 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"color: black;\">Ability to work in a cross-functional matrix\u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Ful>\u003Cp style=\"margin: 0cm; line-height: 115%; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cstrong>\u003Cspan style=\"font-size: 12.0pt; line-height: 115%;\">Nice to Have\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\u003Cul style=\"margin-top: 0cm; margin-bottom: 0cm;\">\u003Cli style=\"margin: 0cm -31.5pt 0cm 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"color: black;\">Able to work in commercial environment and fast-moving business.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm -31.5pt 0cm 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"color: black;\">Excellent interpersonal and communication skills.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm -31.5pt 0cm 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"color: black;\">Knowledge in process optimization\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm -31.5pt 0cm 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"color: black;\">Excellent interpersonal and communication skills.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin: 0cm -31.5pt 0cm 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;\">\u003Cspan style=\"color: black;\">MS Office: MS Word, Excel, PowerPoint, Outlook, SharePoint\u003C\u002Fspan>\u003C\u002Fli>\u003Cli style=\"margin-right: 0cm; font-size: 12pt; font-family: 'Times New Roman', serif; margin-left: 0px;\">\u003Cspan style=\"font-size: 11.0pt; font-family: Calibri, sans-serif;\">Any AI-future skills e.g., ChatGPT, or CoPilot365, will be advantage.\u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Ful> \u003Cp style=\"margin: 0cm 0cm 8pt; line-height: 107%; font-size: 11pt; font-family: Aptos, sans-serif;\">\u003Cspan style=\"line-height: 107%; font-family: Calibri, sans-serif;\">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. \u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cspan style=\"font-size: 11.0pt; line-height: 107%; font-family: Calibri, sans-serif;\">Join us. Let's care for tomorrow.\u003Cstrong>\u003Cu> \u003C\u002Fu>\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>",{"@type":19,"name":9},"Organization","2026-10-07","2027-10-07",[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",[39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57],"MS Word","MS Excel","MS PowerPoint","MS Outlook","MS SharePoint","ChatGPT","CoPilot365","Interpersonal Skills","Communication","Cross-functional Collaboration","Process Optimization","Nursing","Medical Necessity Assessment","Insurance Claims Review","Cost Containment","Medical Coding (ICD-9, ICD-10)","Provider Negotiation","Fraud Detection","Report Writing",{"@type":59,"currency":60,"value":61},"MonetaryAmount","THB",{"@type":62,"minValue":63,"maxValue":64,"unitText":65},"QuantitativeValue",600000,900000,"YEAR",[31],[32],"permanent",[70],"FULL_TIME",[70],"onsite","estimated",[],[],"insurance",[78],"allianz, 10330, bangkok, thailand",[],[],[27],[83],"10330",[85],"Thailand",[28],"## Nice to know\n\nResponsible for managing the pre‑arrangement process, including pre‑approval for medical procedures and surgeries, to support the company’s hospital network. The position ensures accurate assessment of medical necessity and effective cost containment, particularly for provider package‑price procedures. This role helps ensure customers receive appropriate benefit management aligned with customary pricing, while contributing to overall treatment cost control and business cost savings.\n\n## Your Day at Allianz Ayudhya\n\n1) Reviews of claims and medical reports (medical indication assessment)\n\n- Verify the eligibility of the claim by using and applying medical knowledge to pre-arrangement cases.\n- In case of medical issues such as medical necessity for the procedures have to consult medical consultant team.\n- Applies all medical necessity guidelines (Thai Medical Practice Guidelines), determine coverage and apply all cost containment measures.\n- Sending the criteria checklist to consultant doctor\n- The conclusion and issuing the confirmation letter to hospital network within SLA (3 days) (complete documents)\n- Control the cost-effectiveness of medical care and ensure that any new clinical procedures, drugs or technology are appropriate and safe for our customers.\n- Study and understand L&H policy & coverage to apply pre-arrangement part.\n- Coordinate with Internal team such as medical team, Claim team and External team such as utilization nurses from the hospital.\n- Summary monthly report in assigned area.\n\n2) Collaboration process with Provider management team, Health Concierge, Health Solutions step as below;\n\n- Screening the case which meets the criteria for collaboration project such as Preferred hospital, Premium Public hospital or package.\n- Package price checking of each provider.\n- Provider (Hospital) negotiation.\n\n3) Detects suspicious, fraud or abuse claim from hospital network and refer to Retrospective review and Concurrent review team.\n\n4) Process Coding (ICD codes-ICD9, ICD10) based on medical procedures and the claim process.\n\n## Must Have\n\n- Degree in Nursing Science\n- Minimum 3 years in nursing expirience.\n- Nurse in critical units such as IPD (Surgery) ICU, OR and Fax Claim will be an advantage.\n- Experience in insurance related topics\n- Ability to work in a cross-functional matrix\n\n## Nice to Have\n\n- Able to work in commercial environment and fast-moving business.\n- Excellent interpersonal and communication skills.\n- Knowledge in process optimization\n- Excellent interpersonal and communication skills.\n- MS Office: MS Word, Excel, PowerPoint, Outlook, SharePoint\n- Any AI-future skills e.g., ChatGPT, or CoPilot365, will be advantage.\n\nAllianz 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.\n\nJoin us. Let's care for tomorrow.",{"chatgpt":89,"ms word":90,"ms excel":90,"copilot365":89,"ms outlook":90,"ms powerpoint":90,"ms sharepoint":90},1,2,[39,40,41,42,43,44,45],{"interpersonal skills":93,"communication":93,"cross-functional collaboration":94,"process optimization":94},4,3,[46,47,48,49],{"nursing":93,"report writing":94,"fraud detection":94,"cost containment":93,"provider negotiation":94,"insurance claims review":93,"medical necessity assessment":93,"medical coding (icd-9, icd-10)":93},[50,51,52,53,54,55,56,57],{"detected_language_jobad":99,"required":100},"en",[101],[102],{"language":103,"level":104},"ENGLISH","C1",[106,37],"Health Services",[106,37],"https:\u002F\u002Fcareers.allianz.com\u002Fglobal\u002Fen\u002Fjob\u002F107235\u002Fsr-specialist-pre-arrangement-admission-pre-authorization"]