Claims Adjuster Medical Malpractice

QBE

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profile Job Location:

Leeds - UK

profile Monthly Salary: Not Disclosed
Posted on: 23 hours ago
Vacancies: 1 Vacancy

Job Summary

Primary Details

Time Type: Full time

Worker Type: Employee

The purpose of this role is to deliver exceptional claims services by determining policy coverage investigating evaluating and negotiating assigned cases as well as providing timely and accurate support for high complexity claims management with a particular focus on clinical negligence claims.

Claims Adjuster - Medical Malpractice

Leeds/Hybrid

About QBE

At QBE we get to the heart of what matters for our we do it all with a human touch.

Werean international insurer with more than 13000 people working across 26 countries which meanswerebig enough for your ambitions yet small enough for you to make a real exciting momentum towards our vision to become the most consistent and innovative risk partner.

What if you could have a positive impact at work and in the worldAspart of the QBE teamyoullget to spend every day working with people who are passionatetalentedand kind.

Please note - Applicants must have the right to work in the UK as visa sponsorship is not available for this role.

The Opportunity:

We are recruiting for a Claims Adjuster within the FSM claims team with a particular focus on Medical Malpractice claims. You will be expected to demonstrate technical expertise in more than the Medical Malpractice line of business including professional negligence claims. You will investigate manage and resolve more complex claims accurately and pro-actively and within SLAs and agreed authorities.

Your new role

  • Investigate manage and resolve MedicalMalpractice professional negligence and Healthcareclaims efficiently andin a timely manner.

  • Ensure adherence to SLAs andauthority limits while managing claims.

  • Support the implementation of the Claims strategy to enable delivery of overall business targets.

  • Identifyand 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 pro-actively and within agreedtimeframesto provide a professional service to brokers and clients

  • Proactively manage estimates and billings calculated byclientsservice providers and brokers resolving any discrepancies.

  • Regular interactions with key stakeholders including our customersbrokersand internal partners

  • Manage disputed Claims and other material Claims issuesin order toresolve and settle claims on an economic basis.

About you

  • Experience in handling Medical Malpractice claims

  • Preferable experience of handling of professional negligence claims

  • Competent in relevant Claims Systems

  • 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

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 and benefit from

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 part-time 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 net-zero goal to achieve year-on-year 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.
Cycle-to-Work benefit from regular exercise whilst making your commute greener and cheaper select a bike and/or accessories up to the value of 5000.

To find out more visit ourReward Page

Awards &Recognition

We value our employees experience with us and are proud to have been recognised for the following awards:

AXCO Global Insurance Awards 2024 Winner: Network Management of the Year

Insurance Business UK 5-Star Cyber Awards 2024: QBE rated as a 5-Star 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 5-Star Employer

To learn more about our achievements clickhere

Ifyourelooking for a career thatcombines yourexpertiseand your empathy click Applytoday.

Your career. At the heart of it.

Skills:

Case Management Claims Administration Claims Settlement Collaboration Tools Communication Critical Thinking Customer Service Data Privacy Insurance Policies Intentional collaboration Managing performance Negotiation Problem Solving Risk Assessments Sound Judgment

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.

Primary DetailsTime Type: Full timeWorker Type: EmployeeThe purpose of this role is to deliver exceptional claims services by determining policy coverage investigating evaluating and negotiating assigned cases as well as providing timely and accurate support for high complexity claims management wit...
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Key Skills

  • Load & Unload
  • Organizational skills
  • Financial Concepts
  • Fraud
  • Math
  • Mediation Experience
  • Pricing
  • Conflict Management
  • Workers' Compensation Law
  • Medicare
  • negotiation
  • Workers' Compensation

About Company

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QBE Insurance Group is one of the world's top 20 insurance and reinsurance companies, located in 26 countries. Visit us for company information.

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