Senior Claims Specialist - Accident & Health (Medical Stop Loss)

About the role

The purpose of this role is to provide exceptional claims service to customers by managing complex claims effectively. This includes assessing policy coverage, investigating, evaluating, and negotiating intricate claims, collaborating with suppliers and stakeholders, and offering senior technical guidance and support. Your new Role: Provide technical guidance and analysis for complex and high-value claims. Assist in implementing and maintaining claims management strategies. Maintain comprehensive knowledge of insurance guidelines and policies. Build and maintain relationships with stakeholders. Manage a portfolio of complex or high-value claims. Act as an escalation point for customer complaints. Provide senior technical expertise and mentoring for team development. Engage with the team to encourage partner relationships. Support process improvement through negotiation and dispute resolution. Work Experience: Preferred Work Experience includes: Relevant experience in classes. Management of complex and/or high value claims. Involvement with relevant industry groups

Requirements

• Preferred Qualifications include:
• Tertiary Degree or equivalent combination of education and work experience.
• QBE 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:
• 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
• To learn more, click here: Benefits | QBE US .
• Why QBE? What if you could have a positive impact - at work and in the world?
• At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.
• Join us now, so you can be part of our success - and we can be part of yours!
• https://www.linkedin.com/company/qbe-north-america/
• Equal Employment Opportunity:
• This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship.
• Supplementary information
• Global Disclaimer:

Benefits

Additional Information

Primary Details Time Type: Full time Worker Type: Employee Senior Claims Specialist- Accident & Health (Medical Stop Loss) Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $88,000-145,000K

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