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.