Primary Details
Time Type: Full time
Worker Type: Employee
Provide medical technical support to the onshore staff nurses. Assist to the team leader by sending emails to clients and customer regarding queries of medical in nature and being the subject matter expert on the process he/she handling
Primary Responsibilities
Maintain product, system and process knowledge
Ensure compliance with QBE policies, procedures and relevant legislations.
Establish and maintain a good working relationship with stakeholders
Resolve escalated complaints in a timely manner
Assist in resolving escalations by summarizing clinical notes and documentation using knowledge of nursing process and ongoing treatment plan
Prepare, update and proof read new and existing process desktop procedures (DTPs) and reports
Manage workflow and ad-hoc requests including reporting performance dashboards and KPIs
Processing daily transactions
Provide methods to improve in overall technical expertise of CSOs
Determine which of the submitted information goes into which transaction type- deductible, payment etc
Required Education
Bachelor's Degree or equivalent combination of education and work experience
Required Experience
NA
Required Licenses/Certifications
Registered Nurse
Preferred Competencies/Skills
Effective verbal and written communication skills
Proficiency in MS tools
Attention to detail and ability to follow detailed process instructions
Customer service focus
Analytical and problem Solving skills
Administration and Organization skills
Excellent interpersonal skills
Adaptable to change in a high changing environment
Presentation skills
Preferred Experience
With hospital medical/surgical experience as a nurse
2+ years of Underwriting experience preferred
Experience in Medical UW is a must
Preferably with BPO experience and shifting schedules
Preferred Knowledge
Fundamental knowledge on customer service
Basic knowledge on insurance preferred
Fundamental knowledge Medical-Surgical background
QBE Cultural DNA
Everything we do at QBE is underpinned by our DNA (which interlinks seven cultural elements) because we know it's not just what we do that matters, it's how we do it that makes the difference. We expect all employees to role model and inspire the right behaviours that link to our cultural elements:
We are customer-focused
We are technical experts
We are inclusive
We are fast-paced
We are courageous
We are accountable
We are a team
All employees are expected to adhere to QBE's Code of Ethics and Conduct and apply sound risk management practices
US Only - Disclaimer
To successfully perform this job, the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities.
Global Disclaimer
The duties listed in this job description do not limit the assignment of work. They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employee's normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company, to each other and to our customers, suppliers, communities and governments. It provides clear guidance to help us to make good judgement calls.
How to Apply:
To submit your application, click Apply and follow the step by step process.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
