Nurse Reviewer
Full Job Description
The primary function of this role is to evaluate Statement of Health applications for Life coverages, ensuring accurate decision-making regarding the insurability of applicants.
Main Responsibilities:
• Evaluate customer Statement of Health forms and make informed decisions on approval, denial, or further investigation.
• Understand US medical underwriting guidelines and navigate relevant actions for final decisions based on received medical records.
• Review medical condition reports, validate suggested medical treatments, and identify missing information required for processing.
• Ensure allocated reports are completed within recommended timelines and accuracy thresholds.
• Adhere to agreed timelines and SLAs.
Required Skills and Qualifications
This position requires a professional with 3-4 years of experience in the BPO industry, preferably in medical transcription and summarization for US Insurance.
Knowledge and Skills:
• General and technical knowledge of medical terminology, medicines, and computer navigation skills.
• Excellent knowledge of MS Office, keyboarding and data entry speed (minimum 30 wpm with +0% accuracy).
• Exposure to multiple mainframe and web systems, good analytical skills, and ability to research and take decisions.
• Insurance principles in relation to the US Insurance industry, knowledge about US Culture, and strong organizational skills.
• Good communication skills (both written and verbal), ability to work independently and in a team environment, self-disciplined and results-oriented.
Benefits
This role offers opportunities for growth and development, working in a dynamic environment with a diverse team.
Others
This position requires excellent time management skills, attention to detail, and ability to multitask.
Apply Now
The primary function of this role is to evaluate Statement of Health applications for Life coverages, ensuring accurate decision-making regarding the insurability of applicants.
Main Responsibilities:
• Evaluate customer Statement of Health forms and make informed decisions on approval, denial, or further investigation.
• Understand US medical underwriting guidelines and navigate relevant actions for final decisions based on received medical records.
• Review medical condition reports, validate suggested medical treatments, and identify missing information required for processing.
• Ensure allocated reports are completed within recommended timelines and accuracy thresholds.
• Adhere to agreed timelines and SLAs.
Required Skills and Qualifications
This position requires a professional with 3-4 years of experience in the BPO industry, preferably in medical transcription and summarization for US Insurance.
Knowledge and Skills:
• General and technical knowledge of medical terminology, medicines, and computer navigation skills.
• Excellent knowledge of MS Office, keyboarding and data entry speed (minimum 30 wpm with +0% accuracy).
• Exposure to multiple mainframe and web systems, good analytical skills, and ability to research and take decisions.
• Insurance principles in relation to the US Insurance industry, knowledge about US Culture, and strong organizational skills.
• Good communication skills (both written and verbal), ability to work independently and in a team environment, self-disciplined and results-oriented.
Benefits
This role offers opportunities for growth and development, working in a dynamic environment with a diverse team.
Others
This position requires excellent time management skills, attention to detail, and ability to multitask.