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Lead Claims Specialist-Reinsurance
Lead Claims Specialist-Reinsurance-August 2024
New York
Aug 24, 2025
About Lead Claims Specialist-Reinsurance

  Primary DetailsTime Type: Full time

  Worker Type: Employee

  The Opportunity

  This role will oversee and manage assumed reinsurance excess of loss and proportional business emanating from QBE Re's casualty book of business. Ensure that all claims are being properly reported to QBE Re pursuant to the terms and conditions of the reinsurance contract(s).

  Primary Responsibilities

  Complete either on-site or remote reinsurance claim audits when necessary

  Deliver quality claims service to our internal underwriters, actuaries, etc. and external partners (Brokers and Cedent's)

  Manage a portfolio of reinsurance claims (via our ProSume system) in accordance with QBE Re's Claim Guideline and Procedures to ensure a favorable outcome.

  Where necessary, conduct investigations on all assigned claims in order to provide timely and accurate facts for evaluation of each assigned claim

  Interpret the applicable insurance and reinsurance contract(s) and apply that to the exposures presented with each assigned reinsurance claim

  Complete Large Loss Reports (LLR's) for upper management when required

  Resolve claims in a timely and fair manner and in accordance with all applicable laws, regulations and statutes

  Collaborate with QBE's staff attorney's on coverage issues in order to formulate a strategy to achieve a favorable outcome

  Review reserves on all assigned claim files and recommend changes (ACR's) where necessary to ensure claim and actuarial accuracy

  Collaborate with other internal Centers of Expertise in a timely manner where indicated to facilitate the delivery of superior claims outcomes

  Serve as an expert resource on complex claims or assigned claims requiring special handling

  Undertake claims resolutions activities in accordance with claims best practices and Department of Insurance (DOI) compliance to support quality claim results

  Provide the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim outcomes

  Direct, control, and manage relationships with vendors to deliver accurate, timely, and cost effective solutions

  Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for expenses to meet requirements and achieve fiscal responsibility.

  Required Education * Bachelor's Degree or equivalent combination of education and work experienceRequired Experience * 7 years relevant experiencePreferred Competencies/Skills * Generate original, innovative solutions to difficult or unusual situations

  Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim

  Financial and business acumen and awareness of financial responsibility

  Quickly change direction when working on multiple projects or issues

  Guide team to properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures

  Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems

  Assume a methodical approach to a given situation and develop a systematic procedure as a response

  Develop effective negotiation strategies and prepare a plan of action

  Build and capitalize on beneficial internal and external relationships including competitors

  Coach and encourage employees towards continuously improving performance and mentor team with feedback, on-the-job skill enhancement opportunities and career advice

  Build and establish constructive and cooperative working relationships and open lines of communication

  Utilize effective communication skills to influence and persuade decision makersPreferred Experience Experience handling a portfolio of reinsurance claimsPreferred Knowledge * Advanced working knowledge of current and possible future policies, practices, trends, technology and information affecting the business and organization; knows how the business works

  Advanced working knowledge of relevant claims legal and technical knowledge for all US jurisdictions

  Advanced working knowledge of insurance policy and contract language

  Advanced working knowledge of business and management principles involved in strategic planning, resource allocation, leadership technique and coordination of people and resources

  About QBE

  We can never really predict what's around the corner, but at QBE we're asking the right questions to enable a more resilient future by helping those around us build strength and embrace change to their advantage.

  We're an international insurer that's building momentum towards realizing our vision of becoming the most consistent and innovative risk partner.

  And our people will be at the center of our success. We're proud to work together, and encourage each other to enable resilience for our customers, our environment, our economies and our communities.

  With more than 12,000 people working across 27 countries, we're big enough to make a real impact, but small enough to provide a friendly workplace, where people are down-to-earth, passionate, and kind.

  We believe this is our moment: What if it was yours too?

  Your career at QBE - let's make it happen!

  US Only - Travel Frequency Infrequent (approximately 1-4 trips annually)US Only - 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 lbs.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.Job Type * Individual ContributorGlobal 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.

  Compensation

  Base pay offered will vary depending on, but not limited to education, experience, skills, geographic location and business needs.

  Annual Salary Range: $98,000 - $146,000

  AL, AR, AZ, Fresno, CA, CO (Remote), DE (Remote), FL, GA, IA, ID, IL (Remote), IN, KS, KY, LA, MI, MN, MO, MS, MT, NC, ND, NE, NH, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WI, WV and WY

  Annual Salary Range: $108,000 - $161,000

  CA (Remote, Irvine and Woodland), Greenwood Village CO, CT, Chicago IL, MA, MD, NY (Remote), RI, Houston TX and WA

  Annual Salary Range: $123,000 - $183,000

  San Francisco CA, NJ and New York City NY

  Benefit Highlights

  You are more than your work - and QBE is more than a workplace, which is why QBE provides you with the benefits, support and flexibility to help you concentrate on living your best life personally and professionally. Employees scheduled over 30 hours a week will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health.

  We also offer a competitive 401(k) contribution and a paid-time off program. In addition, our paid-family and care-giver leaves are available to support our employees and their families. Regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance.

  QBE recognizes that exemplary benefits extend beyond benefits coverage and compensation. Flexibility in your working environment is important to maintaining balance and QBE is dedicated to ensuring employees achieve personal and professional integration by providing the opportunity for hybrid work arrangements.

  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.

  Equal Employment Opportunity

  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.

  Minimum Salary: 31200.00Maximum Salary: 31200.00Salary Unit: Yearly

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