Sukrita Poonnaimuang
Summary
With over seven years of Experience in the A&H claims industry, including reinsurance, I have developed extensive claim assessment and processing expertise. This experience includes evaluating pre-arrangement cases and conducting concurrent reviews. Adept at embracing novel challenges and exhibit a rapid aptitude for acquiring new knowledge.
Overview
8
8
years of professional experience
Work History
Claim Executive
Thaire Life Assurance Public Company Limited
03.2023 - Current
1. Claim assessor for major claims and A&H claims in the Thai and international markets, specifically for the reinsurance part.
2. Offer opinions on claims made in product design and re-insurance treaty
Senior Claim Assessor
Thai Life Insurance Public Company Limited
09.2016 - 03.2023
1. Claim assessor for A&H claims (fax claim)
2. Conduct a concurrent review to determine the suitable inpatient care (IPD) case.
3. Assess the pre-authorization or pre-arrangement case for coverage verification and confirmation.
4. Evaluate (Audit) the quality of contract hospitals.
Education
LOMA | Associate ,Life Management Institute (ALMI) -
LOMA Associate
2021
International Claim Association (ICA) | Medical As -
International Claim Association (ICA)
2021
MBA -
Ramkhamhaeng University
2018
Bachelor of Applied Thai Traditional Medicine -
Thammasat University
2016
Skills
- Insurance policy knowledge
- Disability claims process
- Claims Processing
- MS Office Suite
- Team Management
- English intermediate level
- Claims auditing
Timeline
Claim Executive
Thaire Life Assurance Public Company Limited
03.2023 - Current
Senior Claim Assessor
Thai Life Insurance Public Company Limited
09.2016 - 03.2023
LOMA | Associate ,Life Management Institute (ALMI) -
LOMA Associate
International Claim Association (ICA) | Medical As -
International Claim Association (ICA)
MBA -
Ramkhamhaeng University
Bachelor of Applied Thai Traditional Medicine -
Thammasat University
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