Job Summary:

Perform duties within responsibilities accurately, promptly, and fairly. Reduce claims expenses and create satisfaction for customers and stakeholders with transparency.

Key Responsibilities

Claims Assessment and Verification
Verify claim liability by reviewing policy coverage conditions and accident details occurring in Bangkok and surrounding areas based on Survey Reports in the E‑Survey system. Ensure all claim assessments are accurate, fair, and completed in a timely manner, in strict compliance with Service Level Agreements (SLA).

Fraud Detection and Escalation
Identify any suspected fraudulent claims during the verification process and immediately escalate such cases to the direct supervisor for further review.

Claims Approval and Cost Control
Review and approve claim liability, survey fees, towing charges, and payment proposals for injury or death claims in accordance with the Motor Vehicle Protection Act coverage. Implement appropriate measures to control and reduce claim expenses in line with company policies and guidelines.

Property Damage and Recovery Coordination
Coordinate with affected parties, surveyors, and contracted repair providers for property damage cases. Escalate cases to the O/D Supervisor when further consideration is required and submit non‑fault claim reports to the Recovery Department for subsequent action.

Complex and Bodily Injury Claims Support
Provide consultation, guidance, and problem-solving support for Bodily Injury (BI) and complex claims, including telephone consultation. Forward injury or death claim cases to the Complex Claims Department when claim compensation negotiations are necessary.

Stakeholder and Partner Management
Provide professional consultation to surveyors, including guidance on on‑site claims. Monitor the performance of business partners and promptly report any operational irregularities to the supervisor responsible.

Service Excellence and Compliance
Maintain a service-oriented approach to ensure satisfaction among all stakeholders. Ensure that all work operations comply strictly with company policies, procedures, and guidelines, and that they do not result in complaints through any communication channels.

Qualifications:

- Bachelor’s degree in any related fields.

- Have at least 3 years of direct experience in claims processing, especially in negotiating with third parties in the insurance industry.

- Any AI-future skills e.g., ChatGPT, or CoPilot 365, will be an advantage.