เงื่อนไขการค้นหา

ประเภทงาน:

งานประจำ

• Review patient admissions and length of stay to ensure medical necessity.
• Conduct concurrent and on-site case reviews.
• Escalate complex cases to physicians when criteria are not met.
• Identify quality issues and flag them to medical leadership.
• Prepare monthly reports and insights for hospital partners.
• Collect only pertinent clinical information and document all UM review information using the appropriate software system.
• Hospital Network Medical AnalysisWork with hospital partners to resolve inappropriate utilization.
• Conduct on-site reviews and service evaluations.
• Investigate and report misuse or abnormal medical practices.
• Medical Services OperationsAppoint and manage panel physicians for pre-insurance checkups.
• Coordinate mobile medical services and scheduling.
• Manage medical room operations (staff, equipment, supplies).
• Support customer medical requests and reports.
• Handle medical document issues with underwriting team.
• Prepare monthly communications (e.g., medical newsletter, updates).
• Support marketing campaigns and customer programs with hospital partners.
• Prepare report and payment for physician fee such as ECG, CxR, Orasure, doctor fee, Bria Lob, PRO lab and medical expense to relevant party every month.
• Coordinate with underwriter by receiving the medical examination documents from underwriter such as incorrect or incomplete to review and provide feedback to physician and nurse, and provide the formal letter to physician and nurse.
• Additional ResponsibilitiesSupport projects (e.g., hospital awards, service improvements).
• Handle customer inquiries and complaints professionally.
• What You Need (Must-Have)Bachelor's degree in nursing science or related field.
• Utilization review / case management / medical cost control.
• Hospital-based nursing (ICU, CCU, or medical ward).
• Strong understanding of clinical decision-making and patient care.
• Experience in claim assessor roles from insurance or healthcare industry.
• Nice to HaveKnowledge of utilization management tools (e.g., InterQual).
• Understanding of medical claims, ICD-10, or insurance practices.
• Familiarity with healthcare analytics tools.
• Good understanding of healthcare regulations.
• Self-driven/management and strongly in result oriented (KPI).
• Collaborative and communication skills.
• Any AI-future skills e.g., ChatGPT, or CoPilot365, will be advantage.
• Why Join UsWork at the intersection of healthcare and insurance.
• Collaborate with leading hospitals and medical professionals.
• Make a real impact on patient care quality and cost management.
• Grow your career in a dynamic healthcare environment.
• 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.

ประสบการณ์:

2 ปีขึ้นไป

ประเภทงาน:

งานประจำ

• Bachelor's or Master's Degree in Business Administration, Nursing, Business of Sciences (Medical Technology), or other related field.
• 2 years experience in Nurse, Claims assessor, or other related fields in insurance industry.
• Any AI-future skills e.g., ChatGPT, or CoPilot 365, will be an 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. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and 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. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.
• We therefore welcome applications regardless of ethnicity or cultural 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.

ประสบการณ์:

2 ปีขึ้นไป

ทักษะ:

Finance, Analytical Thinking, Negotiation, English

ประเภทงาน:

งานประจำ

• To be responsible for manage risk and minimize card loss through a systematic credit operation control on procedures and policies.
• To work the case through though incoming and outgoing calls by managing risk and minimize credit loss through systematic decisioning and dunning procedures and ensure balancing with client satisfaction at certain level.
• To analyze risky cases to find root cause and make sound decisions to ensure we can manage acceptable risk.
• Work the case by inbound and outbound telephone contact.
• Ensure high standard of services are achieved with quality.
• Ensure all risks has been reviewed and manage effectively to minimize loss.
• Minimum 2 years of experience in credit analysis or a related field.
• Bachelor s degree in Business Administration, Finance, or a related discipline preferred.
• Proven ability to perform effectively in a high-volume, fast-paced environment.
• Strong analytical thinking and problem-solving capabilities.
• Excellent negotiation and decision-making skills.
• Ability to manage both inbound and outbound tasks independently.
• Customer-focused mindset with a commitment to service excellence.
• Strong communication skills, with good command of written and spoken English.
• Demonstrated ability to collaborate effectively across cross-functional teams.
• Capable of multitasking and prioritizing workload efficiently.
• Proficient in Microsoft Office applications (Word, Excel, PowerPoint).
• Self-motivated, hardworking, and a strong team player.
• At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. From delivering differentiated products to providing world-class customer service, we operate with a strong risk mindset, ensuring we continue to uphold our brand promise of trust, security, and service.
• As part of Team Amex, you ll experience our powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career. Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express.
• Competitive base salaries.
• Bonus incentives.
• Support for financial-well-being and retirement.
• Comprehensive medical, dental, vision, life insurance, and disability benefits (depending on location).
• Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need.
• Generous paid parental leave policies (depending on your location).
• Free access to global on-site wellness centers staffed with nurses and doctors (depending on location).
• Free and confidential counseling support through our Healthy Minds program.
• Career development and training opportunities.
• Offer of employment with American Express is conditioned upon the successful completion of a background verification check, subject to applicable laws and regulations.

ประสบการณ์:

1 ปีขึ้นไป

ทักษะ:

Negotiation, Procurement, Finance

ประเภทงาน:

งานประจำ

• Develop and execute sales strategies for assigned territories and customer segments, identifying target accounts and presenting medical devices and healthcare supply products to both new and existing customers.
• Build, maintain, and strengthen relationships with hospital executives, doctors, nurses, and key decision-makers (Key Stakeholders), including collaboration with Key Opinion Leaders (KOLs).
• Manage and expand existing customer base while identifying new business opportunitie ...
• Handle end-to-end sales process including quotation preparation, negotiation, order management, delivery coordination, installation follow-up, and after-sales service.
• Actively support distributors and partners in procurement and government tender processes, including documentation preparation and coordination with relevant stakeholders.
• Achieve assigned monthly, quarterly, and annual sales targets, monitor revenue performance, and follow up on payment collection in coordination with Finance.
• Work proactively and independently to solve problems, ensuring alignment with company goals and team objectives.
• Prepare monthly and quarterly sales forecasts and performance reports, analyzing results to ensure achievement of individual sales targets.
• Perform other related tasks as assigned by management to support overall business objectives.
• QualificationsBachelor's Degree in Science, Biomedical Engineering, Medical Technology, or related fields (Bachelor GPA > 2.70, Master GPA > 3.30).
• 1-3 years of experience in medical device or healthcare product sales (experience in Consumables or Labware will be an advantage).
• Strong knowledge of hospital sales processes, medical equipment, and tender procedures.
• Good command of MS Office (especially PowerPoint and Excel).
• Strong presentation, negotiation, and persuasive skills with a sales-oriented mindset.
• Proactive, results-driven, and able to work independently under pressure.
• Good command of English in verbal and written (TOEIC Score > 550).
• Willing to work onsite at SCG Packaging Public Company Limited (Bang Sue, Bangkok).
• Contact: Pupat (Mac) Email: [email protected]