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Blueventure TPA Co., Ltd.Blueventure TPA Co., Ltd.

About Company
ให้บริการสนับสนุนการปฏิบัติงานของธุรกิจประกันภัยและบริษัทเอกชน ได้แก่ การบริหารจัดการ สินไหมทดแทนการรักษาพยาบาลของบริษัทประกันภัย และการบริหารจัดการสวัสดิการรักษาพยาบาลของบริษัทเอกชน รวมถึงการให้คำปรึกษา และจัดอบรมให้แก่บุคลากรของธุรกิจประกันภัย เพื่อเพิ่มความสามารถในการแข่งขันและเพิ่มประสิทธิภาพในการดำเนินงานให้กับลูกค้า และสร้างความพึงพอใจให้กับผู้ใช้บริการ
Job Location
Location48/16 ซอยรัชดาภิเษก 20 ถนนรัชดาภิเษก แขวงสามเสนนอก เขตห้วยขวาง กรุงเทพมหานคร 10310
Contact personฝ่ายทรัพยากรมนุษย์
Telephone064-131-6959
Website
  • https://www.blueventuretpa.com/page/page/about-us

Report
Apply Now

Business Analyst – (Health Claims Project)

Blueventure TPA Co., Ltd.
Insurance, Hospital
Yesterday
Apply Now

View this job in new tab

Basic Requirements
Full Time
1 - 7 Year
Bangkok
Bachelor's Degree or Higher
40,000 - 80,000 baht/month

Responsibilities
• Requirement Gathering & Documentation: Work with stakeholders to gather and
document business requirements for health insurance claims processing.
• Claims Process Optimization: Analyze existing health claims workflows, identifying
bottlenecks, inefficiencies, and areas for improvement. Propose solutions to streamline
claims adjudication, payment, and denial management processes.
• Data Analysis: Extract and analyze claims data to uncover trends, improve accuracy,
and optimize decision-making. Generate reports and dashboards to provide insights to
senior management on claims performance.
• System Implementation & Support: Work closely with the IT team to implement claims
processing systems, enhancements, or new software platforms. Validate the system
functionality aligns with business needs and ensure smooth integration.
• Testing & Quality Assurance: Assist in developing and executing test plans to ensure
that claims processing systems meet functional and business requirements. Validate
accuracy in claims adjudication, pricing, and payment.
• Stakeholder Collaboration: Serve as a bridge between business teams and technical
teams to ensure that system solutions are effectively aligned with business needs.
Regularly interact with medical billing teams, claims processors, and third-party
administrators.

Requirements
  • Bachelor’s degree in business administration, Information Technology, or related field.
  • 3-5 years of experience as a Business Analyst in the health insurance sector, with a specific focus on claims processing.
  • Strong knowledge of health claims processes, including eligibility checks, claims adjudication, and payment processes.
  • Proficiency in business analysis tools (e.g., Microsoft Excel, Visio, JIRA, Confluence).
  • Experience with data extraction, analysis, and reporting using SQL or other BI tools.
  • Strong verbal and written communication skills, with the ability to collaborate effectively with both technical and non-technical stakeholders
  • Ability to think critically, analyze data, and propose actionable solutions for process optimization

Welfare and Benefits
  • Provident Fund
  • Staff training and development
  • Work from home
  • 5-day work week
  • Social security
  • Health insurance
  • Accident Insurance
  • Flexible working hours
  • Annual bonus
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Find jobsApply jobsBlueventure TPA Co., Ltd. jobsIT/Computer jobsInsurance jobsHospital jobsBangkok jobsJira Service Desk jobsJira Software jobsSql jobs
Blueventure TPA Co., Ltd.Blueventure TPA Co., Ltd.
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