Claims Adjuster

Job Description

Primary Details Time Type: Full time Worker Type: Employee The opportunity To examine, evaluate and process Claims estimates and paid Claim values in accordance with policy terms and conditions in line with the QBE Claims PhilosophyYour new role• Investigate and resolve Claims in order to provide excellent Claims handling service with minimal 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 ClaimsAbout you• Excellent investigative skills•Negotiation skills•Good communication skills•Effective presentation skills•Relationship Management skills•Able to use MS office applications, Word, Excel and Access•Able to produce MI and detailed reports at various levels•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 requirementsWhy QBE At My BestAt QBE, we want our people to feel rewarded and inspired to perform at their best, that’s why we have created “At My Best”.It’s our connection, our way of showing we have your back. We understand that one size doesn’t fit all and that priorities can changedepending on your life stage. That is why our blend of wellbeing initiatives and benefits offer flexibility to suit what matters most to you. It’s in the culture of our business, our QBE DNA, to support our people. Everything we do is underpinned by our QBEDNA - because we know it’s not just what we do that matters, it’s how we do it that makes the difference. In addition to this, we also offer flexible parental leave for both parents and have several employee network groups that support and empower our diverseworkforce.At QBE, we view our people as our most precious asset. We understand the importance of fostering a work environment that is responsive to the changing needs of todays workforce. QBE aims to build a workplace that is fair and inclusive because we want toattract and retain the best people to do the job, we have adopted flexible working across the company and welcome this conversation (https://careers/flex-qbe/).#LI-HybridSome of the award’s QBE are proud to have won, been a finalist for, and shortlisted for include;5-star Diversity, Equity and inclusion (DEI) awards, 2023 Winner - Insurance Business CanadaEmployer of the Year 2022Winner – Insurance InsiderBritish Claims Awards 2022 Winner - InsurTech AwardInsurance Times Claims Excellence Awards 2022 Winner - Claims Product Solution of the YearWorking Families Best Practice Awards 2021 Finalist for:Best COVID-19 ResponseInsurance Post British Insurance Awards 2022 Shortlisted for: Best Customer Care, Diversity & Inclusion Initiative of the Year 2022, Specialist Insurer of the Year (for Construction), General Insurer of the YearWe are proud to have partnerships with organisations such as Stonewall and Working Families, and our commitment to the Women in Finance Charter, the UN Women’s Empowerment Principles and Race at Work charter helps keep us accountable and transparentInclusion of DiversityWe are striving to create a workplace culture where all our people feel included, and we are committed to building a diverse workforce that is reflective of the communities we operate in.We know that diversity of thought, background and experience enables better decision making, improves the quality of our delivery and helps us to meet the needs of our customers.ESG & Sustainability At QBE, we believe that integrating sustainability into our business helps us deliver on our purpose of enabling a more resilient futu