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Senior Claims Representative in Plano at QBE

Date Posted: 1/24/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Plano
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    1/24/2018

Job Description

Manage portfolio by investigating (as required by line of business), researching and ensuring consistent and optimal disposition of claims, assessing and estimating damage, reviewing and analyzing various types of contracts/policies, negotiating settlements and making recommendations on legal and coverage issues. Responsible for working on medium to high volume of moderate complexity cases for assigned line(s) of business, including reinsurance and catastrophe claims.
  • 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


Number of Openings:

1

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.

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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.