Claims Adjuster

3 weeks ago

Leeds, United Kingdom QBE Full time

Primary Details

Time Type: Full time

Worker Type: Employee

To examine, evaluate and process Claims estimates and paid Claim values in accordance with policy terms and conditions in line with the QBE Claims Philosophy

Primary Responsibilities
- Investigate and resolve Claims in order to provide excellent Claims handling service with mínimal leakage
- Ensure that estimates and billings are calculated correctly by clients and brokers and that QBE’s share has also been correctly calculated
- Identify and investigate coverage issues so as to ensure that the company’s liability is in line with its contractual commitments
- Identify subrogation, contribution and other recovery issues and ensure that these are successfully pursued where appropriate
- Manage disputed Claims and other material Claims issues in order to resolve and settle claims on an economic basis
- Ensure that Claims fees and advices are responded to within agreed timeframes to ensure good service
- Provide a professional service to brokers and clients which supports the reputation of the Company
- Ensure that base premiums have been received before making Claim payments
- Where appropriate, ensure reinstatement premiums have been calculated correctly when making Claim payments
- Respond to internal and external stakeholder requests in accordance with service standards
- Flag complaints as required and Treat Customers Fairly
- Maintain knowledge of the Claims Portfolio and provide information to others on request to ensure the effective monitoring of Claims to support Underwriting and Claims decisions
- Reserve accurately to ensure that the Company’s liability is clear at all times
- Ensure accurate and timely update of the company’s systems as and when required
- Deal with MI reports when required to maintain status quo and drive down costs and leakage
- Maintain efficient handling of their own caseload to ensure the prompt, timely and effective handling of Claims

Preferred Competencies/Skills
- Strong investigative skills
- Negotiation skills
- Good communication skills
- Effective presentation skills
- Relationship Management skills
- Able to produce MI and detailed reports at various levels

Preferred Knowledge
- Good working knowledge of QBE systems
- Good understanding of class specific Claims knowledge
- Good working knowledge of relevant industry statutes and regulations
- Ensure awareness of and compliance with regulatory and legislative requirements

QBE Cultural DNA

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.

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.

How to Apply:
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

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