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Claims Processor Medical Coding (Non-Voice / AUS Shift)

  • Posted 6 hours ago
  • Be among the first 10 applicants

Job Description

Primary DetailsTime Type: Full timeWorker Type: EmployeeMedical Coding, or Injury Coding, is a regulated and audit-exposed activity. Coding accuracy directly impacts claim outcomes, reserving, actuarial modelling, and regulatory reporting, requiring specialized skills and formal accreditation.

Primary Responsibilities

  • Review and interpret medical reports, certificates, hospital records, and clinical documentation to identify relevant diagnoses and injuries
  • Accurately assign standardized medical or injury codes (i.e AIS or equivalent framework) in line with regulatory and internal guidelines
  • Complete initial, review and final coding within prescribed service level agreements and regulatory timeframes
  • Participate in all relevant meetings in order to share and develop strategy, knowledge and best practice
  • Ensure current knowledge and adherence to relevant Motor Accident Authority legislation, government and Company guidelines
  • Liaise with internal and external network to obtain relevant information
  • Accumulate data in order to identify the type and severity of injuries sustained in motor vehicle accidents

Required Education

  • Graduates of medical allied courses preferably Nursing, Physical Therapy

Required Experience

  • Insurance injury coding
  • Trauma registries
  • Health or claims environment using standardized injury classifications

Preferred Competencies/Skills

  • Claims handling exposure
  • Interpreting poorly structured and handwritten medical certificates
  • Applying coding accuracy under scrutiny
  • Prioritizing complex cases under SLA pressure
  • Communicating coding outcomes to claims handlers and onshore stakeholders
  • Excellent verbal and written communication skills (English)
  • Preferably with Case Management Skills

Preferred Licenses/Certifications

  • Abbreviated Injury Scale (AIS) certification is preferred but can also be taken as part of training.

Skills:

Analytical Thinking, Claims Administration, Claims Resolution, Collaboration Tools, Communication, Critical Thinking, Customer Service, Customer Value Management, Financial Advising, Intentional collaboration, Managing performance, Process Compliance, Process Improvements, Risk Management, Stakeholder Management

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.

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About Company

Job ID: 152481809

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