Senior associate - claims

Primary Details

Time Type: Full time

Worker Type: Employee

To Maintain MIS & process the settlement of insurance claims in compliance to the Company’s policy and guidelines.

Primary Responsibilities

• Strategy and Planning
• Nil
• Policy, Process and Procedures
• Maintaining current knowledge of insurance guidelines and policy changes and modifications
• Environmental Awareness/Customer Focus
• Maintain good relationships with the insured, agents, service providers and other internal counterparts
• Respond to requests in accordance with service standards
• Provide information and feedback on claims activity and developing trends to underwriters/risk assessors to enable appropriate actions to be carried out
• Technical Performance
• Receiving, recording and processing all incoming insurance claims
• Interpreting basic policy coverage's and determining if coverage's apply to claims submitted, escalating issues as needed
• Setting reserves and settling claims in the most cost effective manner and ensuring timely issuance of disbursements
• Identifying suspicious or potentially fraudulent claims, notifying supervisor, arranging investigation and briefing solicitors if further action is to be taken
• People Management
• Nil

Preferred Competencies/Skills

• Good communication and interpersonal skills
• Sound PC skills with fast and accurate typing
• Able to work independently and ensure quality service standard provided

Preferred Education Specifics

• Tertiary education

Preferred Experience

• Minimum 3+ years’ experience in insurance services

Preferred Licenses/Certifications

• Professional qualification in insurance or related disciplines

Preferred Knowledge

• Basic claims knowledge and understanding of insurance

QBE Cultural DNA

• Everything we do at QBE is underpinned by our DNA (which interlinks seven cultural elements) – because we know it's not just what we do that matters, it's how we do it that makes the difference.
• We expect all employees to role model and inspire the right behaviours that link to our cultural elements:
• We are customer-focused
• We are technical experts
• We are inclusive
• We are fast-paced
• We are courageous
• We are accountable
• We are a team
• All employees are expected to adhere to QBE’s Code of Ethics and Conduct and apply sound risk management practices

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.

Skills: 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. We are an international insurer and reinsurer offering a diverse portfolio of commercial, personal and specialty products, as well as risk management solutions. Our product portfolio includes property, motor, crop, energy, marine and aviation. We employ a team of around 13,000 people in 26 countries around the world. Learn more about QBE Careers today.