Associate Claims Operations

Primary Details

Time Type: Full time



Worker Type: Employee

The purpose of this role is to provide efficient and effective support to the claims team to ensure good relations with clients and brokers and that accurate records are established and maintained

Responsibilities:

• Provide claims customer service support by answering inbound calls, responding to inquiries, and escalating issues to appropriate staff to ensure customer satisfaction and service effectiveness.
• Assist in claims handling by gathering and evaluating information, maintaining documentation, tracking files, and resolving issues to meet corporate standards and regulations.
• Communicate claims file status and details with relevant parties to support effective customer service delivery.
• Obtain insurance information by making outbound calls and entering data accurately to ensure completeness and accuracy of account information.
• Assist with identifying and implementing process improvements to manage claims funds effectively and efficiently.
• Maintain knowledge of insurance guidelines, policy changes, and modifications to support accurate claims processing.
• Liaise with internal and external stakeholders to maintain positive relationships and ensure claims are resolved within required timeframes.
• Process claims accurately and timely, ensuring adherence to policies and procedures.
• Participate in training and seek guidance to enhance claims support skills and knowledge.
• Support coordination and execution of user acceptance testing for process changes to mitigate risks to change implementation.
  
  
  
  

Work Experience:

Necessary Work Experience includes:

• Some relevant work experience.
  
  
  
  

Preferred Work Experience includes:

• Basic claims knowledge and understanding of insurance
  
  
  
  

Qualifications:

Preferred Qualifications include:

• Tertiary Education
  
  
  
  

Global Disclaimer:

The duties listed in this job description do not limit the assignment of work. They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employee’s normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company, to each other and to our customers, suppliers, communities and governments. It provides clear guidance to help us to make good judgement calls.

US Only Disclaimer:

To successfully perform this job, the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities.

US Only - Physical Demands:

General office jobs: Work is generally performed in an office environment in which there is not substantial exposure to adverse environmental conditions. Must have the ability to remain in a stationary position for extended periods of time. Must be able to operate basic office equipment including telephone, headset and computer. Incumbent must be able to lift basic office equipment up to 20 lbs.

Skills:

Claims Administration, Communication, Critical Thinking, Customer Service, Data Entry, Detail-Oriented, Document Management, Insurance Claims Processing, Intentional collaboration, Managing performance, Microsoft Applications, Prioritization, Problem Solving, Risk Assessments, Time Management

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.