Thamonwan Pumpuang
Claim Assessor
Bang Nam pieo
Summary
Possess strong teamwork skills and a genuine eagerness to learn and grow within the insurance industry. Committed to utilizing and continually enhancing analytical and decision-making abilities to achieve excellence.
Overview
9
9
years of professional experience
5
5
years of post-secondary education
Work History
Claim Assessor
(CIGNA INSURANCE, CHUBB SAMAGGI INSURANCE)
02.2021 - Current
- Analyzed the claim and decided whether it was covered by the policy (Reimbursement and Credit); A&H claims, Major claims(Complexity claims; ADD, TPD, CA, CI etc.), Travel claims.
- Reviewed and summarized medical documents.
- Performed investigation suspicious fraud claims(Customer and Provider); Coordinated with stakeholders, SIU investigator, investigate Co-insurance to other companies.
- Decided to submit and offer in case void policy, not renew, cancel policy.
- Contacted and discussed independent experts in case of the circumstance claims.
Claim Assessor
(AWP Services (Thailand) Co., Ltd.)
06.2019 - 01.2021
- Operate fax claim service.
- Coordinate hospital , patient, partner.
- Nurse consult of team.
- Audit and review case.
- Visit hospital and audit review case.
OPD NURSE
Vejthani hospital
08.2017 - 05.2018
- Nursing care for patient
- Provide knowledge and advise to patient
- Assistant during the procedure ex
- Amniocentesis, Hysteroscopy
- Coordinate and manage for operative ex
- C/S, D&C, Myomectomy, Hysteroscopic resection
- Assess initial costs according to medical treatment and coordinate the admission department for check price and insurance
- Train and educate new nurses system, testing and documentation
IPD NURSE
Kasemrad Chachoengsao
02.2017 - 07.2017
- Nursing care In patient
- Medicine care and nutrition
- Coordinate and manage the full range of pre and post operative care for patient
IPD NURSE
Ramathibodi hospital
07.2016 - 01.2017
- Nursing care In patient for cancer disease
- Nursing care pre and post Chemotherapy for doctor order
- Creating and monthly education and care patient and their families about disease and treatment
- Medicine care and nutrition for cancer disease as doctor order
Education
Bachelor of Nursing Science - Facuty of medicine Ramathibodi
MAHIDOL UNIVERSITY
01.2013 - 01.2016
science-Math - undefined
BENCHAMARATRUNGSARIT CHACHOENGSAO SCHOOL
01.2010 - 01.2012
Personal Information
- Date of Birth: 10/01/1994
- Nationality: Thai
- Marital Status: Married
Timeline
Claim Assessor
(CIGNA INSURANCE, CHUBB SAMAGGI INSURANCE)
02.2021 - Current
Claim Assessor
(AWP Services (Thailand) Co., Ltd.)
06.2019 - 01.2021
OPD NURSE
Vejthani hospital
08.2017 - 05.2018
IPD NURSE
Kasemrad Chachoengsao
02.2017 - 07.2017
IPD NURSE
Ramathibodi hospital
07.2016 - 01.2017
Bachelor of Nursing Science - Facuty of medicine Ramathibodi
MAHIDOL UNIVERSITY
01.2013 - 01.2016
science-Math - undefined
BENCHAMARATRUNGSARIT CHACHOENGSAO SCHOOL
01.2010 - 01.2012
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