Address
Form of workPrimary Details
Time Type: Full time
Worker Type: Employee
The Opportunity
The role investigates, evaluates and resolves assigned portfolio of complex, high-severity claims emanating from all QBENA business units. Assures timely and accurate reserves. Effective communication and collaboration with Underwriting, Actuary, Legal and Risk.
Primary Responsibilities
• Manage a portfolio of complex high severity claims up to the largest financial level in the organization in a creative, effective and efficient manner in order to provide superior claims outcomes.
• Conduct and coordinate loss investigations on all assigned claims to provide timely and accurate facts for evaluation of each assigned claim
• Interpret the insurance contract and apply to the exposures presented with each assigned claim
• Evaluate and negotiate the resolution of claims timely, fairly and in accordance with all applicable laws, regulations and statutes
• Collaborate with outside counsel to formulate litigation strategy to achieve desired outcome
• Review reserves on all assigned claim files and recommend changes where necessary to ensure actuarial accuracy
• Negotiate the settlement of assigned claims within authorized amounts or specific file authority to produce appropriate outcomes
• Collaborate with other internal Centers of Expertise in a timely manner where indicated to facilitate the delivery of superior claims outcomes
• Serve as an expert resource and large account liaison to handle specific types of complex claims or assigned claims requiring special handling
• Take ownership for personal development and career planning, and development of required skills, tools, techniques, and technology to continually add value to the organization
• Undertake claims resolutions activities in accordance with claims best practices and Department of Insurance (DOI) compliance to support quality claim results
• Provide the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim outcomes
• Direct, control, and manage relationships with vendors to deliver accurate, timely, and cost effective solutions
• Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for expenses to meet requirements and achieve fiscal responsibility
Required Education
• Bachelor's Degree or equivalent combination of education and work experience
Required Experience
• 7 years relevant experience
Preferred Competencies/Skills
• Generate original, innovative solutions to difficult or unusual situations
• Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim
• Financial and business acumen and awareness of financial responsibility
• Quickly change direction when working on multiple projects or issues
• Guide team to properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures
• Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
• Assume a methodical approach to a given situation and develop a systematic procedure as a response
• Develop effective negotiation strategies and prepare a plan of action
• Build and capitalize on beneficial internal and external relationships including competitors
• Coach and encourage employees towards continuously improving performance and mentor team with feedback, on-the-job skill enhancement opportunities and career advice
• Build and establish constructive and cooperative working relationships and open lines of communication
• Utilize effective communication skills to influence and persuade decision makers
Preferred Experience
• Experience handling a portfolio of reinsurance claims
Preferred Knowledge
• Advanced working knowledge of current and possible future policies, practices, trends, technology and information affecting the business and organization; knows how the business works
• Advanced working knowledge of relevant claims legal and technical knowledge for all US jurisdictions
• Advanced working knowledge of insurance policy and contract language
• Advanced working knowledge of business and management principles involved in strategic planning, resource allocation, leadership technique and coordination of people and resources
About QBE
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
• 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.
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.
Compensation
Base pay offered will vary depending on, but not limited to education, experience, skills, geographic location and business needs.
Annual Salary Range: $98,000 - $146,000
AL, AR, AZ, Fresno, CA, CO (Remote), DE (Remote), FL, GA, IA, ID, IL (Remote), IN, KS, KY, LA, MI, MN, MO, MS, MT, NC, ND, NE, NH, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WI, WV and WY
Annual Salary Range: $108,000 - $161,000
CA (Remote, Irvine and Woodland), Greenwood Village CO, CT, Chicago IL, MA, MD, NY (Remote), RI, Houston TX and WA
Annual Salary Range: $123,000 - $183,000
San Francisco CA, 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.
QBE recognizes that exemplary benefits extend beyond benefits coverage and compensation. Flexibility in your working environment is important to maintaining balance and QBE is dedicated to ensuring employees achieve personal and professional integration by providing the opportunity for hybrid work arrangements.
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.
Time Type: Full time
Worker Type: Employee
The Opportunity
The role investigates, evaluates and resolves assigned portfolio of complex, high-severity claims emanating from all QBENA business units. Assures timely and accurate reserves. Effective communication and collaboration with Underwriting, Actuary, Legal and Risk.
Primary Responsibilities
• Manage a portfolio of complex high severity claims up to the largest financial level in the organization in a creative, effective and efficient manner in order to provide superior claims outcomes.
• Conduct and coordinate loss investigations on all assigned claims to provide timely and accurate facts for evaluation of each assigned claim
• Interpret the insurance contract and apply to the exposures presented with each assigned claim
• Evaluate and negotiate the resolution of claims timely, fairly and in accordance with all applicable laws, regulations and statutes
• Collaborate with outside counsel to formulate litigation strategy to achieve desired outcome
• Review reserves on all assigned claim files and recommend changes where necessary to ensure actuarial accuracy
• Negotiate the settlement of assigned claims within authorized amounts or specific file authority to produce appropriate outcomes
• Collaborate with other internal Centers of Expertise in a timely manner where indicated to facilitate the delivery of superior claims outcomes
• Serve as an expert resource and large account liaison to handle specific types of complex claims or assigned claims requiring special handling
• Take ownership for personal development and career planning, and development of required skills, tools, techniques, and technology to continually add value to the organization
• Undertake claims resolutions activities in accordance with claims best practices and Department of Insurance (DOI) compliance to support quality claim results
• Provide the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim outcomes
• Direct, control, and manage relationships with vendors to deliver accurate, timely, and cost effective solutions
• Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for expenses to meet requirements and achieve fiscal responsibility
Required Education
• Bachelor's Degree or equivalent combination of education and work experience
Required Experience
• 7 years relevant experience
Preferred Competencies/Skills
• Generate original, innovative solutions to difficult or unusual situations
• Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim
• Financial and business acumen and awareness of financial responsibility
• Quickly change direction when working on multiple projects or issues
• Guide team to properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures
• Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
• Assume a methodical approach to a given situation and develop a systematic procedure as a response
• Develop effective negotiation strategies and prepare a plan of action
• Build and capitalize on beneficial internal and external relationships including competitors
• Coach and encourage employees towards continuously improving performance and mentor team with feedback, on-the-job skill enhancement opportunities and career advice
• Build and establish constructive and cooperative working relationships and open lines of communication
• Utilize effective communication skills to influence and persuade decision makers
Preferred Experience
• Experience handling a portfolio of reinsurance claims
Preferred Knowledge
• Advanced working knowledge of current and possible future policies, practices, trends, technology and information affecting the business and organization; knows how the business works
• Advanced working knowledge of relevant claims legal and technical knowledge for all US jurisdictions
• Advanced working knowledge of insurance policy and contract language
• Advanced working knowledge of business and management principles involved in strategic planning, resource allocation, leadership technique and coordination of people and resources
About QBE
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
• 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.
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.
Compensation
Base pay offered will vary depending on, but not limited to education, experience, skills, geographic location and business needs.
Annual Salary Range: $98,000 - $146,000
AL, AR, AZ, Fresno, CA, CO (Remote), DE (Remote), FL, GA, IA, ID, IL (Remote), IN, KS, KY, LA, MI, MN, MO, MS, MT, NC, ND, NE, NH, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WI, WV and WY
Annual Salary Range: $108,000 - $161,000
CA (Remote, Irvine and Woodland), Greenwood Village CO, CT, Chicago IL, MA, MD, NY (Remote), RI, Houston TX and WA
Annual Salary Range: $123,000 - $183,000
San Francisco CA, 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.
QBE recognizes that exemplary benefits extend beyond benefits coverage and compensation. Flexibility in your working environment is important to maintaining balance and QBE is dedicated to ensuring employees achieve personal and professional integration by providing the opportunity for hybrid work arrangements.
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.
