Pacific Cross Health Insurance Public Company Limited

Administration Officer-Policy Issuer

Functional responsibilities

• Issue medical insurance policy that match with the need of our clients.
• Issue Medical insurance card for clients to use as evidence in insurance when they need to go to hospital.
• Calculate the premium, tax, stamp and time of covered of medical insurance policy that depend on Insurance plan, age and conditions.
• Co-ordinate with marketing staffs for issuing medical insurance policy that match with the need of our clients.
• Issue a renewal notice
• Issue an Invoice/Receipt
• Take care others project as required

Requirements

• Experience in Health Insurance Industry
• Knowledge of English and technical terms related to health insurance
• Knowledge computer skill (Microsoft Word and Excel)

Claims Administration Officer

Functional responsibilities

• Daily keying & checking claims reimbursement from clients and invoices from hospitals network into the HC policy system before forwarding claims to bookkeeper for payment
• Support and handle other assigned tasks

Qualifications

• Knowledge computer skill (Microsoft Word and Excel)
• 1 year experience in administration field
• Be able to stand by working on Saturday, Sunday or Public Holiday
• Be able to work under pressure

Claims Assessor

Functional responsibilities

• Operate daily claims service (Fax Claims, Reimburse, Credit)
• Coordinate with hospitals for claims processing
• Provide claims information to clients and concerned parties
• Support a Manager to implement its section and handle other assigned tasks

Requirements

• Male or Female Age 25 – 35 years
• Bachelor’s degree in nursing science or medical field
• 1 – 3 years experiences in claims assessor in insurance field is an advantage
• Fair command of spoken and written English
• Good interpersonal and communication skill
• Knowledge computer skill and having technical knowledge analytical thinking
• Be able to stand by working on Saturday, Sunday or Public Holiday
• Be able to work under pressure
• Able to coach others

Medical Advisor

Functional responsibilities

• Provide medical underwriting consultations.
• Provide medical expertise in the review of medical claim consultation and discuss client management issues with claims team.
• Ensure a consistent and timely resolution to medical underwriter queries and medical review claims which have a documented turnaround time and quality standard.
• Ensure compliance by following laws and regulations, internal control requirements and PCHI/MSS claims policy.
• Represent the company to ensure medical correspondence regarding claim management to Medical Provider is professional and timely.
• Provide comprehensive disease updates and updated therapies training to internal and external customers, including the field force if required.
• Maintain ethical standards of Country operations by contributing proactively to a credible image for company in the local Healthcare and Medical community.

Requirements

• Male or Female Age 30 – 55 years
• The applicant must possess a Medical Degree; a specialist (board of medicine) is a plus
• At least 5 years of medical treatment experience and Insurance field.
• Good command of English (both written and spoken) is a must
• Mature, possess strong interpersonal and project management skills
• Be a team player
• Able to coach others

International Business Consultant

Job Purpose

• The job of a Direct Sales Executive/Agent is to look for business opportunities – both individual and group who are interested in buying insurance coverage, such as health,personal accident and travel insurance. These sales executives/agents protect policyholders against possible financial losses, large medical bills and other circumstances included in the insurance policy terms and conditions.

Duties and Responsibilities

• Study all the products and understand them in great details
• Selling one or more types of insurance plans
• Attending meetings internally and externally with prospect clients
• Calculating premiums and providing payment options, explaining to policyholders everything there is to know about the policy, customizing group health and personal accident insurance programs based on customer requirements
• Support direct Sales Manager in developing and executing marketing strategies to boost sales
• Handling policy renewals and maintaining records of policyholders

Qualifications

• A bachelor’s degree in accounting, economics, business administration, or other similar fields.
• Good command of English and French or Japanese language
• Excellent public speaking skills, interpersonal skills, effective written and communication skills
• Good organizational, time-management, problem-solving and analytical skills
• Disciplined, enthusiastic, creative and well organized.
• Strong interpersonal and communication skills with a willingness to learn.
• Sales personality/attributes
• Knowledge in local and national insurance laws, business principles and different types of insurance policies offered is an advantage.

Remuneration Package

• Base salary it depend on sales experiences
• Sales Incentive ( Commission )

Benefits

• Social Security
• Provident Fund
• Health & Life Insurance
• Dental & Vision Benefit
• Annual leave
• Annual health check-up
• Training and on-going learning opportunities provided
• International working environment with opportunities to develop and grow

Nurse Claims Assessor

Duties and Responsibilities

• Process daily fax claims service
• Process & approve reimburse / invoices claims
• Coordinate with hospitals for claims processing e.g. request more documentation to support claims decision
• Consult and discuss complicated cases with claims manager and company’s Consultant Doctor to find out the best solutions
• Issue GOP to hospitals and on time for claim discharges
• Provide hotline service to answer question on products and benefit plans to clients, agents and hospital network staff
• Train new claims staff members on products and benefit plans, terms and condition of policies
• To perform any other duties as assigned

Requirements

• Age 30 – 40 Years
• Bachelor’s degree in nursing science/medical laboratory science or related field
• 2 – 5 years’ experience in Claims service preferable, in insurance field is an advantage
• Fair command of spoken and written English
• Good interpersonal and communication skill
• Positive attitude and strong contribution for team, diligent, self-motivated and enthusiastic
• Service minded and able to work effectively in a high pressure environment
• Be able to stand by working on Saturday, Sunday or Public Holiday
• Be able to work under pressure

Sales Coordinator

Functional responsibilities

• Manage account services through quality checks and other follow-up.
• Manage all documentation related to the sales processes eg. Letters, quotations, claim reports and sales orders.
• Assist sales staff with new business and renewal business process.
• Recheck the health insurance policies, endorsement, debit & credit notes and renewal notices.
• Recheck claim reimbursement payments approved by Claim Department.
• Respond to customer and intermediary queries and requests
• Assist sales staff in the collection of Accounts Receivable.
• Create weekly and monthly sales reports when required.
• Attend to direct business (when assigned)
• Recheck and refill the relevant documents in store room.
• Miscellaneous tasks assigned by either Assistant Manager Director of Sales & Marketing
• General assistance to Team Leader.
• Support the achievement of sales goals and KPI’s

Requirement

• Age 25 – 30 Years
• Bachelor Degree in business administration or relevant field;
• Certification in sales or marketing will be an asset
• Computer literacy – Microsoft Office applications.
• Proven experience in sales; experience as a sales coordinator or in other administrative positions will be considered a plus.
• Disciplined, Enthusiastic, Creative and well organized.
• High level of responsibility
• Pleasant personality.
• Good problem solving skills.
• Good in communication both spoken and writing – Good in English
  Communication is essential.

Assistant Manager / Senior Internal Auditor

Responsibilities

• Involve in audit planning, develop audit program and test plan in responsible and/or assigned area.
• Review and assess adequacy and efficiency of internal controls base on risk assessment.
• Manage audit works to ensure completion within timeline.
• Ensure work papers contain adequate evidence to support audit findings.
• Communicate audit result and provide consultation to auditees.
• Prepare and present audit findings and draft/ final internal audit report.
• Follow up the actions to ensure the correctively improvement in the audit report.
• Understand and maintain internal audit professional standards and code of ethic.
• Responsible for other jobs as assignment.

Qualifications

• Bachelor’s Degree in Accounting or Business Administration, IT or related fields.
• At least 3 years’ experience in Internal Audit field,(Insurance ,Banking, Financial business, Broker, external auditor)
• Good management skill, Business acumen, analytical and systematic thinking skills.
• Good command of both spoken and written English and computer literacy.
• Strong communication and negotiation skill

Financial Controller Manager

Job Purpose

• To lead and support CFO, following internal support groups: Finance & Accounting, Information Technology, and Risk Management. This position partners with the CFO to coordinate strategic and annual business planning processes. The Assistant CFO provides company-wide leadership by applying analytical and technical expertise and business judgment to support the organization’s goals and management.

Functional responsibilities

• Assistant to Chief Financial Officer supports all the business’s finance issues. He or She provides information on new revenue streams and potential opportunities.
• He or She provides data to management so business and financial decisions can be made to achieve the goal of maximizing the value of Pacific Cross while managing the risk.
• Helps in the development of the department’s strategies which are aligned with the company’s goal.
• Recommends and maintains a system of policies and procedures that imposes an adequate level of control over financial activities.
• Advises and recommends on issues related to revenues, expenditures as against budgets, project profitability, and other finance initiatives

Business Partner

• Improving the impact and understanding of financial reporting on business performance.
• Providing analysis and delivering insight that links financial reports to business strategies.
• Providing or initiating changes to existing business procedures to ensure critical operational, business, and financial targets are delivered.
• Building partnerships and maintaining strong relationships with key stakeholders of Finance & Administration.

Investments

• Engages in regular research to stay abreast with the Thailand economy, global financial markets, and general current events.
• Coordinates with Investment Consultants to assess financial information and investment opportunities.
• Assess financial risks and returns.
• Negotiates and structures financial details.
• Provides recommendations on how to meet targets and create investment capital.
• Provides investment advice, tactics, and recommendations.
• Makes decisions about financial and investment opportunities.

Others

• Monitors the daily and weekly Cash Position.
• Provides recommendations on investment vehicles.
• Ensures that all disbursements are funded.
• Performs other functions that may be assigned by the immediate superior and corporate officers.
• Works with other employees on social activities, gatherings, team buildings, sponsorships, and other activities that will create a culture of honesty, unity, and customer care among PC employees.

Education requirement

• Bachelors’ degree with Major in business administration or finance required.
• Graduate degree or Certified Public Accounting designation preferred.

Previous experience requirement

• Minimum 5-10 years professional work experience required.
• Preferred experience with non-profit and non-profit tax filings.
• Prefer experience with mergers, acquisitions or business integrations.
• Excel, PowerPoint, Word required and accounting system.

Technical skill requirement

• Excellent integrity and character.
• Current knowledge of accounting principles and financials systems.
• Clear understanding of information technology systems.
• Ability to clearly communicate business concepts.
• Working knowledge of Microsoft Office.
• Very good written and verbal skills in both Thai and English.
• Be a team builder.

Competencies

• Problem – solving and decisive.
• Analytical thinker.
• Managing resources effectively.
• Possesses technical competency and expertise.
• Able to lead and coach others while being a Team player.
• Independent, mature and Self Motivated.
• Ability to work under pressure.
• Be willing to ask for guidance whenever required.
• High sense of responsibility.
• Alert, active and willing to work hard.
• Energetic, dedicated and strong desire to be successful.