| ประสบการณ์ทั้งหมด : |
17 ปี |
| 1. ประสบการณ์ทำงาน |
| เริ่มจาก : |
กรกฎาคม
2561
ถึง
มิถุนายน
2564
|
| บริษัท : |
สมาชิกเท่านั้น |
| ที่อยู่บริษัท : |
|
| ตำแหน่ง : |
TPA Implementation Asst. Mgr. (Product Master) (Third Party Admin (TPA) - Health Care Department) |
| เงินเดือน : |
สมาชิกเท่านั้น บาท |
| ลักษณะงานที่ทำ : |
Set up new and renewal policies , benefits , products contract , record exclude diseases & frauds cases in the system. - Upload or key in new business information , renewal , movement and updating information of Group and Individual Health insurance clients & set all special conditions in the system. - Responsible for Life Insurance , Accident & Health & Non Life Insurance products. - Implement and Test UAT for system of Group and Individual Health (Life Insurance, Accident & Health). - Monitoring & investigate input data and errors members data to resolve and Policy Issuing. - Handling the migration , configuration management , implementation and mapping plan code to develop program with business requirement. - Assisting in the design and implementation of rebuild system and troubleshooting. - Suggesting improvement in the operation and processes to make the improve performance system. - Provide customer with products & service information. - Prepare and review Renewal conditions based on expiry notice. - Work with Marketing Team , IT Team , OM Team , BA Team , Health Care Team (Fax Claim , Regular Claim) , Call Center Team and other department to drive life insurance business. - Approaching new and existing clients to increase business and achieve company target. - Identify technical problems and solutions develop to support business objectives. - Development and implementation of business plan and initiatives. - Responsible and updating each project to management. - Provide guidance on business reengineering activities for performance improvements. - Participate in review and update of business processes to meet changing business needs. - Monitor and improve operation process to increase teams capability and skill to work efficiency and achieve target. - Manage , training , mentor , suggest , monitor and measure the operation of entire Administration staffs. - Handle group insurance and individual insurance service website for HR , hospitals and insured members - Handle complain and support information to implement section duties as request.
- Manage and resolve customer complaints. - Develop and maintain good relationships with clients , providers , companies agencies & brokers. - Investigate case that client has insurance policy with the company for use claim of client s rights. - Replying specific inquiry about operations for each individual case under responsibility. - Reply and explain a specific and complicated claim case inquiry to the clients. - Reply general inquiry about group insurance coverage and operation to clients. - Handle complaints to ensure that the resolution of complaints are clearly and completely solved within the turnaround time prior to the closure of complaint cases. - Handle complaints to ensure that complaints policy and process flow is regularly updated and communicated to complaints coordinators. - Prepare complaint handling reports such as pending complaint reports , complaints movement reports , trend analysis , complaints report. - Improves service quality by evaluating , monitoring , analyzing results & implementing changes. - Provide the effective services that customers expect from daily interaction. - Automate operational process to reduce non-productive tasks and improve operation efficiency. - Solving problems of both clients and internally for smooth work flow. |
| 2. ประสบการณ์ทำงาน |
| เริ่มจาก : |
กรกฎาคม 2556 ถึง กรกฎาคม 2561 |
| บริษัท : |
สมาชิกเท่านั้น |
| ที่อยู่บริษัท : |
|
| ตำแหน่ง : |
Membership Administration Asst. Mgr. (Third Party Admin (TPA) Department) |
| เงินเดือน : |
สมาชิกเท่านั้น บาท |
| ลักษณะงานที่ทำ : |
Set up new and renewal policies , benefits , products contract , record exclude diseases & frauds cases in the system. - Upload or key in new business information , renewal , movement and updating information of Group and Individual Health insurance clients & set all special conditions in the system. - Responsible for Life Insurance , Accident & Health , Motor , Non Motor & Non Life Insurance products. - Implement and Test UAT for system of Group and Individual Health (Life Insurance, Accident & Health , Non Life Insurance products). - Monitoring & investigate input data and errors members data to resolve and Policy Issuing. - Provide customer with products & service information. - Prepare and review Renewal conditions based on expiry notice. - Handle and prepare Manual Report , Claims History to providers and companies. - Monitor and improve operation process to increase teams capability and skill to work efficiency and achieve target. - Manage , training , mentor , suggest , monitor and measure the operation of entire Administration staffs. - Support Fax Claim Section , Regular Claim Section and Call Center Team & other department. - Handle group insurance and individual insurance service website both for HR , hospitals and insured members - Handle complain and support information to implement section duties as request. - Manage and resolve customer complaints. - Develop and maintain good relationships with clients , providers , companies agencies & brokers. - Investigate case that client has insurance policy with the company for use claim of client s rights. - Replying specific inquiry about operations for each individual case under responsibility.
- Reply and explain a specific and complicated claim case inquiry to the clients. - Reply general inquiry about group insurance coverage and operation to clients. - Handle complaints to ensure that the resolution of complaints are clearly and completely solved within the turnaround time prior to the closure of complaint cases. - Handle complaints to ensure that complaints policy and process flow is regularly updated and communicated to complaints coordinators. - Prepare complaint handling reports such as pending complaint reports , complaints movement reports , trend analysis , complaints report. - Improves service quality by evaluating , monitoring , analyzing results & implementing changes. - Provide the effective services that customers expect from daily interaction. - Automate operational process to reduce non-productive tasks and improve operation efficiency. - Solving problems of both clients and internally for smooth work flow. |
| 3. ประสบการณ์ทำงาน |
| เริ่มจาก : |
|
| บริษัท : |
สมาชิกเท่านั้น |
| ที่อยู่บริษัท : |
|
| ตำแหน่ง : |
P.O.S. (Policy Owner Service Corporate Business , Group Insurance Department) |
| เงินเดือน : |
สมาชิกเท่านั้น บาท |
| ลักษณะงานที่ทำ : |
Underwriting for individual insured members of Group Health insurance which follow underwriting guideline based on risk classification. - Analyze underwriting experience to develop market , service strategy and improve underwriting guidelines. - Set up new business and renewal policies , trial run & Test UAT in the system (Group 400). - Upload or key in new business information and updating information of group insurance clients , set all special conditions & recording exclude diseases in the system (Group AS400). - Billing and delivering receipts to clients. - Policy Issuing, Insurance Card printing and Insurance Handbooks for new & renewal clients - Prepare Group Quotation , Renewal proposal , additional benefits adjustments of proposal during the policy year & negotiate with clients and provide proposal to clients. - Provide of quotation related to operation process , risk selection and underwriting. - Quote quotation with appropriate and competitive price , term and condition as risks for Group Healthcare including risk classification and reinsurance management under company policy. - Deliver policies and documents filing to clients. - Mailing , assign messenger to receive and sent document to clients. - Manual Report , Sending Claims History to providers and companies. - Memo special cases or request cases for clients. - Business form preparation and distribution to clients. - Give consultant to Customer Relationship (CR-Renew Team) , Japanese Marketing Team , Marketing Team to solve client issues. - Other requests from clients case by case. - Responsible to control loss ratio of entire group insurance business boundary i.e. GYRT. - Proactively work, coordinate and considerately serve clients as their strategic partner in all scopes, building good relationship with clients up and also coordinate and work with relate team (Marketing , Customer Relationship , Underwriting , Actuarial , Compliance , Operations) in carrying out their activities as well. - Preservation renewal year client portfolio to achieve the persistency and renewal year premium income target set by the company by coordinating closely with all concerned sections. - Controlling group insurance business rules and regulations for renewal as well as operation cost saving & control operation cost saving. - Collection of premiums and delivering receipts to clients.
- Managing and implementing premium collection , commission payment and advanced medical debt collection to ensure that clients s request , customer s payment and premium collection have been accurately processed within timeline. - Investigate case that client has insurance policy with the company for use claim of client s rights. - Replying specific inquiry about operations for each individual case under responsibility. - Reply and explain a specific and complicated claim case inquiry to the clients. - Reply general inquiry about group insurance coverage and operation to clients. - Handle complaints to ensure that the resolution of complaints are clearly and completely solved within the turnaround time prior to the closure of complaint cases. - Handle complaints to ensure that complaints policy and process flow is regularly updated and communicated to complaints coordinators. - Prepare complaint handling reports such as pending complaint reports , complaints movement reports , trend analysis , complaints report. - Improves service quality by evaluating , monitoring , analyzing results & implementing changes. - Provide the effective services that customers expect from daily interaction. - Automate operational process to reduce non-productive tasks and improve operation efficiency. - Problem solving , being able to be proactive and resolve conflicts. - Being able to have an objective approach to assessing situations and taking action. Capable and willing to make important decisions from a non-emotional standpoint and possess the emotional intelligence necessary to deal effectively with angry customers , leadership and their subordinates. - Well support to Medical Division , Group Insurance Health Promotion and Solutions Section and Customer Relationship Team to provide knowledge , solutions and health promotion activities and problem solving to the HR, CFO and Top Management of the clients about medical welfare utilization, administration and management to cope with it in effective and efficiency way as a strategic partner. - Create and cooperate with Business Process Development Section of Corporate Planning Department and IT Department to develop and strengthen the premium collection process , IT program and reporting. - Manage claim payment information via SMS for Claimant service. - Produce all necessary operation management reports about advanced medical debt collection progress and group insurance. - Support the manager to handle complain and support information to implement section duties as request. - Support and cooperate regular claims and other claims to Group Insurance Claims Sections for serving clients. - Handle group insurance service website both for HR and insured members. - Building up good relationship with clients by considerately providing good service to clients and closely coordinating with Customer Relationship Team.
Jul. 2003
Aug. 2006
True Corporation PCL.
Customer Service
(Outsource)
Work with Kasikorn Bank , Citi Bank , SCB (Work about products of bank in electronics, service of ATM Cards and Electron Cards (Debit Card) , Credit Cards , registered to use internet banking , request for new username and password, new ATM Cards , new Credit Cards , Cheque of bank , receiving cheque , checking amount transfer and lost money from account , coordinating customers and Kasikorn Staff internal parties concerned, etc.) , Dell (Thailand)
Co., Ltd. (Coordinating customers to repair & upgrade computers and notebooks and Dell international parties concerned) and True Move Co., Ltd. (Orange) (Coordinating customers about Mobiles, GPRS, Responding to customer enquiries for mobile, payment, promotion of customer, complaints, Ensuring customer satisfaction and handing complains). |
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