Primary DetailsTime Type: Full time
Worker Type: Employee
Claims Specialist - Accident & Health (Medical Stop Loss)- Location: USA - Marblehead, MA & Atlanta, GA
- Work Arrangement: Hybrid
- The salary range for this role is: $76,000.oo- $125,500.00
The OpportunityThe 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.
Your New RoleResponsibilities:- 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 minimise 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.
Work Experience:Necessary Work Experience includes:
- Moderate relevant experience.
Preferred Work Experience includes:
- Experience in a claims department or the insurance industry.
- Experience handling claims within the respective line of business.
Qualifications:Necessary Qualifications include:
- Tertiary Degree or equivalent combination of education and work experience.
- Relevant insurance qualifications
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 togive back to your community
To learn more, click here:
Benefits | QBE USSupplementary information Skills: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
How to Apply:
To submit your application, click "Apply" and follow the step by step process.
