Senior Claims Specialist - Accident & Health

Primary Details

Time Type: Full time

Worker Type: Employee

The purpose of this role is to provide exceptional claims service to customers by managing complex claims effectively. This includes assessing policy coverage, investigating, evaluating, and negotiating intricate claims, collaborating with suppliers and stakeholders, and offering senior technical guidance and support.

Responsibilities:

• Provide technical guidance and analysis for complex and high-value claims.
• Assist in implementing and maintaining claims management strategies.
• Maintain comprehensive knowledge of insurance guidelines and policies.
• Build and maintain relationships with stakeholders.
• Manage a portfolio of complex or high-value claims.
• Act as an escalation point for customer complaints.
• Provide senior technical expertise and mentoring for team development.
• Engage with the team to encourage partner relationships.
• Support process improvement through negotiation and dispute resolution.

Work Experience:

Preferred Work Experience includes:

• Relevant experience in classes.
• Management of complex and/or high value claims.
• Involvement with relevant industry groups

Qualifications:

Preferred Qualifications include:

• Tertiary Degree or equivalent combination of education and work experience.

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.

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.

US Only - Travel Frequency:

Infrequent (approximately 1-4 trips annually)

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.

Skills:

Analytical Thinking, Claims Settlement, Coaching, Critical Thinking, Detail-Oriented, Insurance Claims Management, Insurance Policies, Intentional collaboration, Managing performance, Problem Solving, Process Improvements, Regulatory Compliance, Risk Management, Stakeholder Management, Technical Support

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.