Address
Form of workPrimary Details
Time Type: Full time
Worker Type: Employee
The Opportunity
This opportunity is to contribute to the financial success of the company by responding to claims file inquiries both internally and externally, typically claims of high cost and complexity. Handle escalations from Analysts/Specialists. Use judgment to evaluate and audit claims to determine the final outcome of the claim. Maintain accurate documentation resulting in alignment with corporate objectives and achieve department success.
Primary Responsibilities
• Provide claims customer service support by analyzing and responding to high cost and complexity claims inquiries
• Handle escalations of low-to-medium cost/complexity claims. Provide guidance to analysts/specialists
• Lead high dollar and/or 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
• Audit specialty crops, high dollar and complex claims to ensure process accuracy and compliance; investigate issues and questions as needed
• Support internal and external customers by analyzing claims files to identify and measure leakages and compliance issues in the claims process
• 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
• Resolve and handle all 1099 issues and FCIC errors through following required processes and procedures
• Provide timely and accurate payment of claims, questions regarding status and dollar amounts of claims and work with Field Claims Manager and Adjusters to gather missing information
• Audit specialty crops, high dollar and complex claims to ensure process accuracy and compliance; investigate issues and questions as needed
• Provide internal and external training on company claim processing and procedures
• Represent Company through testifying at arbitrations
• Lead various audits for specialty crops and/or high dollar claims analyzing claim errors and payout issues. Investigate all concerns to ensure compliance with established policies and procedures
• Participate in analyst/specialist onboarding by sharing technical knowledge, recommending solutions to complex, escalated issues, training on department processes and procedures and demonstrating application of best practices to assist in development of new team members
• 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
• 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
• 4 years 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
• Identify errors and arrive to an accurate resolution
• 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
• Strong communications skills and the ability to work with difficult stakeholders
• Willingness to assist others beyond the call of duty
Preferred Education
• Associate's Degree or equivalent combination of education and work experience
Preferred Experience
• 4 years of crop insurance and/or claim processing
Preferred Licenses/Certifications
• Crop Adjuster Proficiency Program (CAPP) Card
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
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.
Compensation
Base pay offered will vary depending on, but not limited to education, experience, skills, geographic location and business needs
Annual Salary Range: $59,000 - $89,000
AL, AR, AZ, CO (Remote), DE, 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 (Remote, Plano), UT, VA, VT, WI, WV and WY
* * * * *
Annual Salary Range: $65,000 - $97,000
CA (Remote, Fresno, Irvine and Woodland), Greenwood Village CO, CT, Chicago IL, MA, MD, NY (Remote), RI, Houston TX and WA
* * * * *
Annual Salary Range: $74,000 - $111,000
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.
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.
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.
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
This opportunity is to contribute to the financial success of the company by responding to claims file inquiries both internally and externally, typically claims of high cost and complexity. Handle escalations from Analysts/Specialists. Use judgment to evaluate and audit claims to determine the final outcome of the claim. Maintain accurate documentation resulting in alignment with corporate objectives and achieve department success.
Primary Responsibilities
• Provide claims customer service support by analyzing and responding to high cost and complexity claims inquiries
• Handle escalations of low-to-medium cost/complexity claims. Provide guidance to analysts/specialists
• Lead high dollar and/or 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
• Audit specialty crops, high dollar and complex claims to ensure process accuracy and compliance; investigate issues and questions as needed
• Support internal and external customers by analyzing claims files to identify and measure leakages and compliance issues in the claims process
• 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
• Resolve and handle all 1099 issues and FCIC errors through following required processes and procedures
• Provide timely and accurate payment of claims, questions regarding status and dollar amounts of claims and work with Field Claims Manager and Adjusters to gather missing information
• Audit specialty crops, high dollar and complex claims to ensure process accuracy and compliance; investigate issues and questions as needed
• Provide internal and external training on company claim processing and procedures
• Represent Company through testifying at arbitrations
• Lead various audits for specialty crops and/or high dollar claims analyzing claim errors and payout issues. Investigate all concerns to ensure compliance with established policies and procedures
• Participate in analyst/specialist onboarding by sharing technical knowledge, recommending solutions to complex, escalated issues, training on department processes and procedures and demonstrating application of best practices to assist in development of new team members
• 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
• 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
• 4 years 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
• Identify errors and arrive to an accurate resolution
• 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
• Strong communications skills and the ability to work with difficult stakeholders
• Willingness to assist others beyond the call of duty
Preferred Education
• Associate's Degree or equivalent combination of education and work experience
Preferred Experience
• 4 years of crop insurance and/or claim processing
Preferred Licenses/Certifications
• Crop Adjuster Proficiency Program (CAPP) Card
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
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.
Compensation
Base pay offered will vary depending on, but not limited to education, experience, skills, geographic location and business needs
Annual Salary Range: $59,000 - $89,000
AL, AR, AZ, CO (Remote), DE, 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 (Remote, Plano), UT, VA, VT, WI, WV and WY
* * * * *
Annual Salary Range: $65,000 - $97,000
CA (Remote, Fresno, Irvine and Woodland), Greenwood Village CO, CT, Chicago IL, MA, MD, NY (Remote), RI, Houston TX and WA
* * * * *
Annual Salary Range: $74,000 - $111,000
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.
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.
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.
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.
