Claims Specialist - Accident and Health

Claims Specialist - Accident and Health

Location:

USA MA, Marblehead;
Atlanta, GA

Work Arrangement:
Hybrid or Remote

The salary range for this role is: $76,K

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:
  Moderate relevant experience.
• Preferred:
  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. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. 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.

• 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

• 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

QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.

Equal Employment Opportunity: 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.