Lead Medical Risk Consultant

The Opportunity

The purpose of this role is to provide consultancy advice and training to enhance knowledge of the valuation industry and property market trends across Service Delivery and Risk business units, and to lead risk assessments for Accident and Health (A&H) by evaluating risks, monitoring regulatory changes, and driving continuous improvement to achieve A&H risk management objectives.

Work Arrangement:

• This role is hybrid; expected to be in the office 2-3 days per week.
• The starting salary is between $98,500.00 and $.
• Location (open to multiple locations):
  Marblehead, MA;
  Atlanta, GA;
  Plano, TX;
  Edina, MN.

• Perform new business and renewal large claims reviews and disclosure assessments through clinical and claims data evaluation to identify and quantify risks.
• Provide concise, detailed, and accurate reporting of data analysis findings, observations, and recommendations.
• Serve as the subject matter expert for claims and underwriting related to risk management.
• Provide clinical assessment and recommendations for setting reserves on large dollar claims.
• Present in-house clinical education to enhance understanding of high-cost diagnoses and treatment trends.
• Lead clinical thought leadership, participating in product development and educational presentations.
• Consult with internal and external clients on high-cost, complex claims and engage in effective clinical risk management strategies.
• Review transplant contracts and vendor selections for quality control.
• Build relationships with key stakeholders to communicate risk factors and develop recommendations for continuous improvement.

• Bachelor's Degree or equivalent combination of education and work experience.
• Registered Nurse (RN) certification.

The salary range for this role is $98,500.00 to $, based on role complexity, location, and candidate background. Eligible for QBE’s annual discretionary bonus plan based on business and individual performance.

• Hybrid Working – mix of working from home and in the office.
• Paid leave: 22 weeks for family growth, with 12 weeks available to all parents on a gender‑equal basis.
• Competitive 401(k) program with company match up to 8%.
• Well‑being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice.
• Tuition Reimbursement for professional certifications and continuing education.
• Employee network and community support for six employee networks and community giving.

QBE provides equal employment opportunities to applicants and employees without regard to race, color, gender, gender identity, sexual orientation, religious practices, national origin, pregnancy, childbirth, or related medical conditions, protected veteran status, disability or any other legally protected status.

This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full‑time basis without the need for current or future sponsorship.