Quality Assurance Specialist ensuring compliance and quality within underwriting processes. Collaborating with underwriting and audit teams to evaluate risks and support process improvements.
About the role
- Lead A&H risk management team overseeing risk assessments and collaborating on health initiatives. Manage budget resources and educational programs for staff improvements.
Responsibilities
- Oversee and manage staff in multiple locations across the Accident and Health (A&H) Risk Management Department, providing risk assessments to underwriters on new and renewal business.
- Lead and collaborate with managers on diverse A&H risk management initiatives and objectives, including product, financial risk assessment, and cost containment in various medical areas.
- Collaborate with A&H claims area to facilitate proactive claim management potential, review high dollar claims, and assist with medical information interpretation.
- Review and direct best practices for individual claim reserves.
- Explore value-added services with regional A&H Underwriting leadership and Third Party Administrators for cost containment and vendor approval.
- Develop and oversee an educational platform for all Risk Consultant staff to participate in.
- Serve on A&H Leadership committees to evaluate and improve the efficiency of processes.
- Streamline workflow processes and implement continuous improvements to align with marketplace demands.
- Manage budgeted resources by accurately forecasting needs and accounting for expenses.
- Communicate key performance objectives for the A&H Risk Management team.
Requirements
- Significant relevant experience.
- Experience in medical risk management.
- Extensive clinical experience.
- Tertiary Degree or equivalent combination of education and work experience.
- Certifications as a Registered Nurse (RN).
Benefits
- 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 to give back to your community
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