The role supports the day-to-day operational execution of A&H Claims by managing workflows, coordinating with internal and external partners, and driving consistency across intake, reporting, and process execution. The focus is on improving efficiency, data quality, and overall claims operations performance.
Your new role
Responsibilities
Support day-to-day claims operations by tracking workflows, following up on outstanding items, and ensuring workflows are progressing as expected
Coordinate with internal teams and external partners to gather claim information and assist with issue resolution
Help manage intake and backlog by organizing incoming work and routing items appropriately
Review reports and data for completeness, flagging any missing or inconsistent information
Assist with maintaining accurate records to support reporting and audit readiness
Escalate issues or delays and support follow-through to resolution
Support process improvements by identifying efficiencies and assisting with implementation of standardized workflows
Provide general operational support to the Claims team as needed
Work Experience:
Required:
1-3 years of experience in a professional, administrative, or operational support role
Strong organizational skills with the ability to manage multiple tasks and follow through on details
Experience working with data, reports, or tracking workflows in a structured environment
Preferred:
Experience in medical stop loss insurance, claims, or a related industry
Experience working with external partners, vendors, or shared service teams
Familiarity with claims systems, reporting tools, or operational processes
Requirements
Necessary Qualifications include:
Bachelor's degree or equivalent combination of education and relevant work experience
Strong organizational, communication, and follow-up skills
Proficiency in Microsoft Office (Excel, Outlook, Teams) and comfort working with data and reports
Ability to manage multiple tasks, prioritize work, and meet deadlines in a fast-paced environment
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!
QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender ident
Benefits
401(k)Performance bonus
Additional Information
Primary Details
Time Type: Full time
Worker Type: Employee
Specialist, Claims Operations
Location: USA -Marblehead, MA and Atlanta, GA
Work Arrangement: Hybrid
The salary range for this role is: $76,000-125,500K