Claims Specialist (US)
West Chester, OH - USA
Job Summary
Your Opportunity Your Team
- Reporting to the Claims & Risk Management Lead - Treasury you will provide full cycle support for claims. These claims include workers compensation claims general liability & product claims and cyber claims. Additionally you will engage with team members directly to provide service. You will process and document claims to ensure compliance with legislative provisions company policies and insurance industry best practices. You will act in a fiduciary role on behalf of our large deductible including consultation on the calculation and posting of claim case reserves and the negotiation and resolution of claims.
Where Youll Work
- This role is hybrid and will require you to be onsite at West Chester PA several days per month (onsite days are predetermined and standard across the company). Job seekers must reside in one of the following states to be considered: NJ DE PA. Relocation assistance is not available for this role.
What Youll Do
- Manage workers compensation claims general liability claims product claims and cyber claims from beginning to closure.
- Be the primary contact for evaluating recommendations and decisions with regards to and claim mitigation and resolution.
- End-to-end administrative support of return to work assignments for full and restricted returns for all U.S. QVC locations and panel providers
- Track and comply necessary statistics for Management.
- Evaluate and submit settlement authority proposals and reserve increases and decreases.
- Prepare reports detailing claim status payments reserves and claim trends.
What Youll Bring
- 3 years leading end-to-end review of insurance claims.
- 3 years experience supporting workers compensation and general liability claims.
- 3 years experience using claims service vendor systems or on-site database software to maintain continuity of claims history database.
- 3 years experience using customer portals payroll and HR Resource Systems and team member data management.
- 3 years experience using knowledge of jurisdictional requirements and applicable case law for each claim and respective state.
- 3 years experience partnering with panel providers to evaluate claims.
- Experience documenting claim review cycle preferred.
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Our Total Rewards package includes benefits youll love such as competitive compensation paid time off an employee assistance program parental leave paid volunteer hours and amazing company discounts! In our US market you can also expect health care benefits starting on day 1 401(k) and tuition reimbursement benefits.
QVC Group is committed to inclusion and belonging for all and ensuring that our workplace provides equal employment opportunities for all team members and candidates and complies with all applicable federal state and local laws and regulations. As an equal opportunity employer QVC Group is committed to a barrier-free employment process. If you need reasonable accommodations/support throughout please contact us at for assistance.
If provided salary ranges are a general guideline only and actual salaries will vary and are based on factors such as a candidates qualifications skills experience and geographic location as well as business and market conditions.
Required Experience:
IC
About Company
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