Assistant Manager - Customer Service
Genpact
Quezon City, Philippines
6d ago

Responsibilities

  • Evaluate Short Term Disability claims from a medical perspective to determine a claimant’s functional abilities. This involves taking a balanced perspective of the claimant’s statements, exam notes, treating provider’s opinion, diagnostic test results, and treatment plan, in order to determine limitations and restrictions that may impact a claimant’s ability to work.
  • Develop to-be process maps to describe the client’s case processing flow using PVAI
  • Work within a computer application (Claim Vantage) to access claim information and make your evaluation.
  • Qualifications

    Minimum qualifications

  • Excellent product / process understanding features, benefit, procedure, and guidelines
  • Digital literacy MS office functions
  • Excellent communication skills comprehension, articulation, effective listening and written
  • Candidates should be 3 FTE of Band 4A and 3 FTE of Band 4B
  • Experience working as a Nurse Case Manager in the disability field (insurance / healthcare).
  • Have qualified experience in a field such as neurology, neurosurgery, orthopedics, cardiology, pulmonology, nephrology, rheumatology, or oncology.
  • Be able to resolve conflict if a difference of opinion arises.
  • Job Specifications :

  • Education : Bachelor’s degree or higher in Nursing, though an associate degree can be acceptable if all other qualifications are met.
  • Experience : hospital or clinical experience in relevant medical fields
  • Professional Certification : Active RN license in US
  • Preferred qualifications

  • Have critical thinking skills, as exemplified by the ability to review medical information and make conclusions regarding an individual’s functional capacity, duration of impairment, and recommendations for next steps when appropriate.
  • Have a breadth of experience with a wide range of medical conditions while also demonstrating a history of working in settings that show a depth of knowledge in at least one specific field.
  • Have an ability to communicate clearly and effectively in English by oral and written means. An ability to collaborate with individuals with or without a medical background is needed.
  • Be able to take feedback, be proactive, and make meaningful changes as needed.
  • Have basic office skills, including the ability to use a computer for email and basic Microsoft Office applications.
  • Have outstanding customer service skills, excellent interpersonal skills, flexibility, and the ability to multi-task and prioritize
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