Senior Claims Representative jobs at QBE Insurance Group

Primary Details Time Type: Full time Worker Type: Employee Senior Claims Technical Specialist - Financial Lines * Work Arrangement: Hybrid * The salary range for this role is: $126,0000 - $236,000 The Opportunity The purpose of this role is to oversee the examination, evaluation, and processing of complex Claims estimates and paid Claims values, ensuring adherence to policy terms and conditions in alignment with the QBE Claims Philosophy. The role also entails supporting the claims function in specific insurance classes to drive operational efficiency, efficient claims settlement, and fair resolution of claims disputes in line with company guidelines and philosophy. The selected candidate will manage the complete investigation, evaluation and resolution of assigned portfolio of complex claims emanating the lawyers professional and miscellaneous professional liability business segments, Engages, directs and manages external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants across highly complex portfolio of matters. Your new role * Manage a diverse portfolio of complex claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an effective and efficient manner * Evaluate and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with applicable laws, regulations, statutes, best practices and Department of Insurance (DOI) compliance * Drive the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim outcomes * Collaborate with outside representative counsel to formulate litigation strategy ensuring achievement of desired outcome and effective litigation management strategies * Directs and manage external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants. * Oversee projects and planning surrounding departmental initiatives to achieve strategic objectives * Analyze, develop and determine appropriate case reserves on all assigned claim files and recommend changes where necessary to ensure actuarial accuracy * Advise on specific professional liability areas of specialization and coordinates efforts to disseminate information and guide learning and thought leadership in those areas; serve as the subject matter expert * Represent QBE by participating in and attending industry seminars or authoring articles pertaining to professional liability subjects * Collaborate with Underwriters to identify, understand and address novel or complex risks to appropriately price and negotiate terms including participation in sales calls and requests for proposals (RFPs) * Manage relationships with external vendors to deliver accurate, timely, and cost-effective solutions. * Take ownership for personal development and career planning, and development of required skills, tools, techniques, and technology to continually add value to the organization. * 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 * 8 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 * 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 * Actively contributes 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 * Manage a diverse and extensive portfolio of management and professional liability claims with varying levels of complexity and activity. * Collaborate with internal resources to resolve difficult claims situations and drive resolution opportunities with internal and external stakeholders Preferred Education * Juris Doctor 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. 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. US Only - Travel Frequency: Occasional (approximately 5-10 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. Compensation Package: 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. 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. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: * 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 To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** 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. 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. Supplementary information Skills: Adaptability, Claims Settlement, Commercial Acumen, Conflict Resolution, Critical Thinking, Customer Value Management, Insurance Claims Processing, Intentional collaboration, Managing performance, Mentorship, Personal Initiative, Project Delivery, Regulatory Compliance, Risk Management, Team Development 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.