Hybrid​/Remote Claims Specialist - Accident & Health

Claims Specialist – Accident and Health

Location:

USA – MA, Marblehead;
Atlanta, GA

Work Arrangement:
Hybrid or Remote

Salary range: $76,K

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 claims, as well as collaborating with suppliers and stakeholders while offering technical support.

• Support the implementation of the Claims strategy to enable the delivery of overall business targets.
• Maintain current knowledge of insurance guidelines, policy changes, and modifications.
• Maintain good client relationships with insured individuals, agents, service providers, and the general public.
• Provide claim management for various types of insurance claims.
• Identify and implement strategies to minimize Claims Costs and Leakage.
• Respond to client requests following service standards.
• Assist with the negotiation of claims settlements.
• Participate in relevant meetings to share and develop strategy, knowledge, and best practices.
• Identify and resolve issues or anomalies non‑compliant with policies and procedures.
• Assist with the daily review of reports and ad hoc reporting.
• Mentor and coach junior staff as required.

Necessary

Work Experience:

Moderate relevant experience.

• Experience in a claims department or the insurance industry.
• Experience handling claims within the respective line of business.

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

The salary range for this role is provided above. Beyond the base salary, regular full‑time and part‑time employees will also be eligible for QBE’s annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.

• Hybrid Working – a mix of working from home and in the office
• 22 weeks of paid leave 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 – QBE actively supports six Employee Networks, and many ways to give back to your community

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

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.

Infrequent (approximately 1‑4 trips annually)

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.

• Analytical Thinking
• Business Process Improvements
• Claims Settlement
• Critical Thinking
• Customer Service
• Insurance Analysis
• Insurance Claims Management
• Insurance Policies
• Intentional collaboration
• Managing performance
• Negotiation
• Problem Solving
• Risk Management
• Sound Judgment
• Stakeholder Management