Diversity, Equity & Inclusion
At Generali, we are committed to fostering a diverse, equitable, and inclusive workplace where everyone has the opportunity to grow, contribute, and succeed. We welcome applications from individuals of all nationalities, backgrounds, experiences, and perspectives.
Language Requirement
Fluency in both spoken and written Thai is required for this role.
As this position involves frequent interaction and collaboration with stakeholders, customers, business partners, and colleagues across Thailand, the successful candidate must be able to communicate confidently and professionally in Thai within a business environment.
Applications from candidates who do not meet this requirement may not be considered.
Head of Hospitalization Claim Team
About the Role
The Head of Hospitalization Claim Team plays a critical leadership role in ensuring the efficient and accurate processing of hospitalization claims. This position leads a team of specialized nurses, oversees admissions, discharges, and concurrent reviews, and collaborates closely with healthcare providers to maintain service excellence, optimize patient care, and support effective cost management.
Key Responsibilities
- Lead, supervise, and develop a team of nurses responsible for hospitalization claims processing, ensuring compliance with company policies and industry regulations.
- Coordinate with healthcare providers to issue guarantee of payment letters and manage the concurrent review process to support quality patient care and cost efficiency.
- Drive initiatives to identify cases involving undisclosed medical conditions during underwriting and collaborate with the Special Investigation Unit for further review.
- Ensure service level agreements (SLAs) are consistently achieved by maintaining prompt response times to hospital inquiries and reducing admission and discharge wait times.
- Develop and manage shift schedules to ensure continuous service coverage, 365 days a year, from 8:00 AM to 8:00 PM.
- Monitor, evaluate, and continuously improve team performance, workflows, and operational procedures to enhance customer satisfaction and operational effectiveness.
Qualifications / Requirements
- Bachelor's Degree in Nursing Science.
- Minimum 10 years of working experience, preferably within the insurance industry.
- Strong leadership and people management skills.
- Logical and sound decision-making ability.
- Strong analytical skills with the ability to work independently.
- Outgoing personality with a positive attitude and a collaborative team-oriented mindset.
- Service-minded with excellent interpersonal skills.
- Good command of English, both written and spoken.
- Computer literacy.
What We Offer
- Hybrid Working Model, Flexible Collaboration and Work-from-Anywhere Opportunities
- Comprehensive Benefits and Well-being Programs
- Inclusive Benefits and Support for LGBTQA+ Employees
- Access to Global Learning Platforms and Personalized Development Journeys
- International Career Growth Opportunities Across the Generali Group
- A Collaborative, Inclusive, and Purpose-Driven Culture
Join Generali
Join a global organization where innovation, collaboration, and continuous learning drive success. Be part of shaping the future of insurance while building a rewarding career and making a meaningful impact on our customers, colleagues, and communities.
