We’re a health insurance company that acts like a technology company. We’re using software, data science and telemedicine to make health insurance more affordable, easier to access and more of a delightful experience
This role is responsible for resolving clinical escalations raised by the Customer service team and resolving tickets raised to the Risk Division.
Job Description
Review complex medical cases raised by Customer Service Representatives.
Develop and Implement quality assurance best practices, as well as a robust performance measurement model for performance monitoring, and improvement.
Drive down the incident rate of customer success agents requesting medical clarification from other sources/teams.
Track clinical escalations, carry out root cause analysis and create DIY tools for Reliance Care Officers that help drive down the percentage of clinical escalations made.
Support Product Team in new health insurance product development/product revision based on gathered claims vs benefits data.
Resolve tickets raised to the Risk Division.
Job Experience
Minimum of a First Degree in Medicine or Nursing
0 - 2 years post-NYSC experience.
Exceptional problem solving and analytical skills.
A demonstration of curiosity, love for learning, creativity, execution, and speed.
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