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General Liability Senior Claims Representative in Plano at QBE

Date Posted: 10/19/2018

Job Snapshot

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Job Description

Manage the handling and review of claims for assigned line(s) of business by providing accurate documentation, communicating progress, delivering consistent customer service and assisting with special projects to complete assignments. Generally responsible for working on medium to high volume of moderate complexity cases for assigned line(s) of business, including reinsurance and catastrophe claims.

Primary responsibilities

  • Contacts all parties involved to complete full investigation (as required by line of business) of the facts and damages relevant to the claim
  • Produce large loss reports with analysis to ensure appropriate claim reserves
  • Evaluates and negotiates the resolution of claims within authority levels while mitigating damages to achieve cost effective claims outcomes
  • Review and evaluate claims for coverage and further claim handling procedures to conclude within required statutory time frame
  • Interpret policy/contract language and evaluate coverage issues of multiple policies/contracts/endorsements, including identifying potential coverage issues and referring claims to Claims Unit Leader as needed, and determining liability and evaluating damages of all exposures related to the claim
  • Identify and refer claims to subject matter experts or manager in a timely manner to maximize claim outcomes; ensure files are documented with all appropriate claim information
  • Provide effective and timely communication to all internal and external stakeholders regarding claim status and other inquiries such as fraud, subrogation recovery, reserve adequacy and underwriting risks; build close partnerships throughout the life of the claim
  • Support claims workflow efficiency by accurately documenting portfolio progress, referring high risk exposures outside authority levels and seeking opportunities that enhance operational knowledge
  • Utilize judgment and industry skill set to apply case reserves independently; review reserves on assigned claim files and recommend additional case reserves or other necessary changes
  • Contribute to a positive work environment by demonstrating cultural expectations and influencing others to reward performance and value “can do” people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and fun
  • Adopt QBE values in personal work behaviors, decision-making, contributions and interpersonal interactions; manage own career development by soliciting feedback and valuing other perspectives

Required Qualifications


Bachelor’s Degree or equivalent combination of education and work experience


3 years relevant experience


Maintain adjusters license in states requiring licensing

Preferred Qualifications


4 years claims handling experience; increasing levels of responsibility


Progress toward an insurance designation such as Associate in Claims (AIC), Associate in Management (AIM), Chartered Property Casualty Underwriter (CPCU) or Senior Claim Law Associate (SCLA)


  • Working knowledge of claims administration best practices and procedures
  • Working knowledge of insurance products and services
  • Understanding of relevant laws and regulations across multiple jurisdictions
  • Understanding of market trends and organizational strategies
  • Working knowledge of Microsoft Office Suite, general computer software and database systems


  • Utilize effective communication to effectively influence and persuade decision makers; understand the needs and goals of customers and actively look for ways to meet them
  • Mediate and resolve conflict using a logical approach
  • Identify relevant information and understand it’s impact
  • Maintain integrity of claims portfolio and evidence
  • Use multiple resources to gather and analyze significant data


  • Leverage technical knowledge to make cost-effective decisions
  • Encourage open communication, cooperation and knowledge sharing
  • High attention to detail
  • Implement planning to organize, prioritize and measure individual work

Work environment

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 pounds.

Number of Openings:


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.


  1. Insurance Adjuster Jobs
  2. Claims Adjuster Jobs

The companies of QBE North America are committed to equal employment opportunities. All qualified applicants will receive consideration for employment without regard to age, disability, marital or parental status, national origin, citizenship, race, color, religion, sex, sexual orientation, or veteran status. All personal information contained in this application will be kept confidential as required by law.