Senior Claims Technical Specialist managing complex claims in the Financial Lines for QBE. Overseeing investigations, evaluations, and resolutions in a hybrid work environment.
Responsibilities
Manage a diverse portfolio of complex claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an effective and efficient manner
Evaluate and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with applicable laws, regulations, statutes, best practices and Department of Insurance (DOI) compliance
Drive the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim outcomes
Collaborate with outside representative counsel to formulate litigation strategy ensuring achievement of desired outcome and effective litigation management strategies
Directs and manage external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants.
Oversee projects and planning surrounding departmental initiatives to achieve strategic objectives
Analyze, develop and determine appropriate case reserves on all assigned claim files and recommend changes where necessary to ensure actuarial accuracy
Advise on specific professional liability areas of specialization and coordinates efforts to disseminate information and guide learning and thought leadership in those areas; serve as the subject matter expert
Represent QBE by participating in and attending industry seminars or authoring articles pertaining to professional liability subjects
Collaborate with Underwriters to identify, understand and address novel or complex risks to appropriately price and negotiate terms including participation in sales calls and requests for proposals (RFPs)
Manage relationships with external vendors to deliver accurate, timely, and cost-effective solutions.
Take ownership for personal development and career planning, and development of required skills, tools, techniques, and technology to continually add value to the organization.
Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for expenses to meet requirements and achieve fiscal responsibility.
Requirements
8 years relevant experience
Bachelor's Degree or equivalent combination of education and work experience
Generate original, innovative solutions to difficult or unusual situations
Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim
Financial and business acumen and awareness of financial responsibility
Quickly change direction when working on multiple projects or issues
Properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures
Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
Assume a methodical approach to a given situation and develop a systematic procedure as a response
Develop effective negotiation strategies and prepare a plan of action
Build and capitalize on beneficial internal and external relationships including competitors
Actively contributes towards continuously improving performance and mentor team with feedback, on-the-job skill enhancement opportunities and career advice
Manage a diverse and extensive portfolio of management and professional liability claims with varying levels of complexity and activity.
Collaborate with internal resources to resolve difficult claims situations and drive resolution opportunities with internal and external stakeholders
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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