Claims Specialist - Accident & Health
Claims Specialist - Accident & Health
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$ 75 - 128000
1 Vacancy
Job Description
Primary Details
Time Type: Full timeWorker Type: EmployeeClaims Specialist - Accident and Health
- Location: USA MA Marblehead
- Work Arrangement: Hybrid
- The salary range for this role is:$75 - $128000
The Opportunity
The purpose of this role is to provide exceptional claims service to customers by managing complex medical stop loss claims effectively. This includes assessing policy coverage investigating evaluating and negotiating claims as well as collaborating with suppliers and stakeholders while offering technical support.
Responsibilities:
- 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 an Accident & Health claims department or the insurance industry.
- Experience handling Medical Stop Loss claims.
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. The salary offer will be decided based on the roles complexity its location and the candidates professional background including their education and experience. Beyond the base salary regular full-time and part-time employees will also be eligible for QBEs annual discretionary bonus plan based on business and individual performance.
Benefits
Hybrid Working a mix of working from home and in the office.
22 weeks of paid leave depending on the circumstances in growing your family with 12 of those weeks available toallparents on a gender-equal basis
Competitive 401(k) program with company match up to 8%
Well-being Programs: Enjoy monthly Guided Meditations and a Well-being Rebate Program for gym memberships fitness programs and more.
Tuition Reimbursement for continuing education through certifications external professional development and degree related college courses.
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 were enabling a more resilient future for our customers communities environment and for our people. Were 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 youll get to spend every day working with people who are passionate talented and kind. And our international scale means were 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!
At QBE we are deeply committed to fostering an inclusive workplace where each person is valued and respected for their authentic selves. If you require any assistance such as alternative interview accommodation during the recruitment process please do not hesitate to inform our Talent Acquisition team.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates
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 ManagementHow 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.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
Key Skills
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