Claims Quality Analyst - Crop
QBE
Country: United States of America
Location: Missoula, MT, USA
Time Type: Full time
Posted On: September 28, 2024
Primary Details
Time Type: Full timeWorker Type: EmployeeThe Opportunity
This role is responsible for supporting internal and external customers by responding to claims file inquiries, typically low cost and/or low complexity claims, escalating issues as necessary, maintaining accurate documentation and following established guidelines to ensure alignment with corporate objectives and achieve department success.
Primary Responsibilities
• Provide basic claims customer service support by answering inbound calls as needed, responding to basic claims file inquiries and escalating issues to appropriate claims staff to contribute to customer satisfaction and effectiveness of service
•Assist in low dollar and/or less complex claims handling by gathering and evaluating relevant information, mailing claims items, maintaining accurate documentation, tracking claims files and resolving outstanding issues to ensure alignment with corporate standards and government regulations
•Support internal and external customers by processing and balancing check registries, understanding claims processes and procedures, following established guidelines and identifying opportunities for process improvement to align individual performance with department objectives
•Communicate claims file status and details by sharing relevant information with claimants, insured parties, vendors, specialists, agents and other employees as needed and verifying data to support delivery of effective customer service
•Cultivate claims support skills and knowledge by seeking advice and guidance of peers and participating in cross-training as required to learn additional processes and increase personal effectiveness
•Settle claims as outlined in company policies and procedures
•Contribute to a positive work environment by demonstrating cultural expectations and influencing others to reward performance and value “can do” people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and fun
Required Education
• High School Diploma/GED
Required Experience
• 1 year relevant experience
Preferred Competencies/Skills
• Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim
•Assume a methodical approach to evaluate situations
•Manage and prioritize competing responsibilities concurrently and effectively
•Provide personalized and quality service to meet the expectations of internal and external customers
•Effectively manage one’s own time
•Complete tasks attentively and thoroughly with attention to detail
•Utilize established procedures to guide decision-making
•Maintain a professional, poised and positive demeanor
•Willingness to assist others beyond the call of duty
Preferred Experience
• Experience in the insurance industry or a call-center environment
Preferred Knowledge
• Working knowledge of basic computer hardware and software, Microsoft Office Suite and database systems
•Principles and processes for providing customer service including meeting quality standards for services and evaluation of customer satisfaction
•Working knowledge of industry best practices and policies
The Opportunity
We can never really predict what’s around the corner, but at QBE we’re asking the right questions to enable a more resilient future by helping those around us build strength and embrace change to their advantage.
We’re an international insurer that’s building momentum towards realizing our vision of becoming the most consistent and innovative risk partner.
And our people will be at the center of our success. We’re proud to work together, and encourage each other to enable resilience for our customers, our environment, our economies and our communities.
With more than 12,000 people working across 27 countries, we’re big enough to make a real impact, but small enough to provide a friendly workplace, where people are down-to-earth, passionate, and kind.
We believe this is our moment: What if it was yours too?
Your career at QBE — let’s make it happen!
https://www.linkedin.com/company/qbe-north-america/
US Only - Travel Frequency
• NA
US Only - Physical Demands
• General office jobs: Work is generally performed in an office environment in which there is not substantial exposure to adverse environmental conditions. Must have the ability to remain in a stationary position for extended periods of time. Must be able to operate basic office equipment including telephone, headset and computer. Incumbent must be able to lift basic office equipment up to 20 lbs.
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.
Job Type
• Individual Contributor
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.
Inclusion of Diversity
At QBE, we are deeply committed to fostering an inclusive workplace where each person is valued and respected for their authentic selves. If you require any assistance, such as alternative interview accommodations during the recruitment process, please do not hesitate to inform our Talent Acquisition team.
Compensation
Base pay offered will vary depending on, but not limited to education, experience, skills, geographic location and business needs
Hourly Salary Range: $20.00 - $30.00
AL, AR, AZ, CO (Remote), DE, FL, GA, IA, ID, IL (Remote), IN, KS, KY, LA, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NV, OH, OK, OR, PA, SC, SD, TN, TX (Remote, Plano), UT, VA, VT, WI, WV and WY
* * * * *
Hourly Salary Range: $22.00 - $33.00
CA (Remote, Fresno, Irvine and Woodland), Greenwood Village CO, CT, Chicago IL, MA, MD, NY (Remote), RI, Houston TX and WA
* * * * *
Hourly Salary Range: $25.00 - $37.50
NJ and New York City NY
Benefit Highlights
You are more than your work – and QBE is more than a workplace, which is why QBE provides you with the benefits, support and flexibility to help you concentrate on living your best life personally and professionally. Employees scheduled over 30 hours a week will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health.
We also offer a competitive 401(k) contribution and a paid-time off program. In addition, our paid-family and care-giver leaves are available to support our employees and their families. Regular full-time and part-time employees will also be eligible for QBE’s annual discretionary bonus plan based on business and individual performance.
At QBE, we understand that exceptional employee benefits go beyond mere coverage and compensation. We recognize the importance of flexibility in the work environment to promote a healthy balance, and we are committed to facilitating personal and professional integration for our employees. That's why we offer the opportunity for hybrid work arrangements.
If this role necessitates a hybrid working model, candidates must be open to attending the office 8-12 days per month. This approach ensures a collaborative and supportive work environment where team members can come together to innovate and drive success.
Application Close Date: 27/03/2025 11:59 PMHow 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.