Complex Claims Adjuster
Complex Claims Adjuster
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Job Description
Primary Details
Time Type: Full timeWorker Type: EmployeeThe 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.Complex Claims Adjuster
Leeds/Hybrid
The opportunity
Join our dynamic and diverse London markets Complex Claims team! We are looking for an experienced Medical Malpractice Complex Claims Adjuster to join our growing team in Leeds. In this exciting role youll be investigating managing and resolving claims with precision and proactive flair all while ensuring compliance with SLAs and authority levels. With business spanning Australia South Africa Israel the Middle East Canada and the UK our dynamic international portfolio offers you the perfect opportunity to elevate and broaden your skills.
With hybrid office working and excellent benefits including 30 days holiday you will be working in a supportive and inclusive environment. Were the downtoearth international insurer that is neither too big nor small so you can make a real impact!
Your new role:
- Investigate manage and resolve complex Medical Malpractice complex high value claims efficiently and in a timely manner.
- Ensure adherence to SLAs and authority limits while managing claims.
- Support the implementation of the Claims strategy to enable delivery of overall business targets.
- Identify and investigate coverage issues to ensure that the companys liability is in line with its contractual commitments.
- Reserve accurately to ensure that the Companys liability is always clear
- Ensure that messages advice and correspondence are responded to proactively and within agreed timeframes to provide a professional service to brokers and clients
- Proactively manage estimates and billings calculated by clients service providers and brokers resolving any discrepancies.
- Regular interactions with key stakeholders including our customers brokers solicitors external loss adjusters and internal partners
- Manage disputed Claims and other material Claims issues to resolve and settle claims on an economic basis.
About you
- Experience in handling complex high value Medical Malpractice claims. This could be from a claimant or defendant handling background.
- Coaching and mentoring skills
- Current knowledge of compliance regulatory and statutory requirements
- Organisational investigative analytical and negotiation skills
- Ability to make balanced and impartial judgements
- Excellent communication and presentation skills
- Relationship Management skills
- Able to use MS Office applications and strong IT skills
At My Best QBE Benefits
You are more than your work and QBE is more than a workplace which is why we provide you with the benefits support and flexibility to help you concentrate on living your best life personally and professionally. FOR UK ONLY: As well as the benefits below we also offer an extensive choice of other options to suit you!
- 30 days holiday a year with the option to buy up to 2 additional days.
- Flexible working balancing work and life is important so our flexible working opportunities are open to all this can include parttime job share and compressed hours.
- Pension you are automatically enrolled into the QBE pension plan which entitles you to receive employer contributions of 10% of your basic salary.
- Private medical insurance we fund fully comprehensive private medical cover for you and all the family.
- Family friendly policies we offer 26 weeks leave at full pay regardless of gender identity sexual orientation or how you become a parent.
- Short term remote work abroad you can request up to 20 days per year to work remotely from certain locations abroad.
- Sustainable investing we believe sustainable integration is important for long term financial environmental and social outcomes. Our pension strategy supports our netzero goal to achieve yearonyear reductions in carbon footprint by investing more in green businesses than the broader market so your savings are looking after the planets future as well as your own.
- CycletoWork benefit from regular exercise whilst making your commute greener and cheaper select and bike and/or accessories up to the value of 5000.
To find out more visit our Reward Page
QBE Awards
Some of the awards QBE are proud to have won been a finalist for and shortlisted for include;
AXCO Global Insurance Awards 2024 Winner: Network Management of the Year
Insurance Business UK 5Star Cyber Awards 2024: QBE rated as a 5Star Cyber Insurer
UK IT Industry Awards 2023 Winner: Green Technology Innovation of the Year
Working Dads Employer Awards 2023 Winner: Parental Policies Award
Insurance Post British Insurance Awards 2023: QBE rated as a 5Star Employee
You can view all our awards here
Inclusion of Diversity
We are striving to create a workplace culture where all our people feel included and we are committed to building a diverse workforce that is reflective of the communities we operate in. We are proud to have partnerships with organisations such as Stonewall and Working Families and our commitment to the Women in Finance Charter the UN Womens Empowerment Principles and Race at Work charter helps keep us accountable and transparent. For more information on our strategy targets please take a look at our Careers Page
Accessibility
Here at QBE we are promoting an accessible workplace for all which includes supporting candidates to perform at their best during their recruitment process. If you require any accommodations please make your Talent Acquisition contact aware.
ESG & Sustainability
At QBE we believe that integrating sustainability into our business helps us deliver on our purpose of enabling a more resilient future. Our three key focus areas include fostering an orderly and inclusive transition to a netzero economy enabling a sustainable and resilient workforce and partnering for growth through innovative sustainable and impactful solutions. For further information regarding QBEs sustainability targets including our netzero pledges and inclusion of diversity targets and our awardwinning impact investment initiative Premiums4Good please visit our Sustainability homepage and read our latest Sustainability Report
What next
If you have a passion to contribute to QBEs vision of enabling a more resilient future for our customers and the community we encourage you to apply! Simply click the apply button to submit your CV and other relevant documents and a member of our friendly Talent Acquisition team will be in contact to discuss your interest further if you meet the requirements of the role.
We believe this is our moment what if it was yours too
APPLY NOW and lets make it happen!
Skills:
Adaptability Analytical Thinking Claims Settlement Coaching Communication Critical Thinking Customer Value Management Insurance Claims Processing Intentional collaboration Managing performance Problem Solving Regulatory Compliance Risk Management Standards Compliance Working IndependentlyHow 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.
Employment Type
Full-Time
