SIU - Senior Claims Adjuster

Job Description

Primary DetailsTime Type: Full time Worker Type: Employee The purpose of this role is to identify and resolve all detected fraud claims and assess intelligence reports on behalf of all QBE lines of business. We have a new opportunity for an experienced fraud professional to join our small team of Senior Claims Adjusters.The roll includes reviewing new referrals to the team from multiple lines of business across our European coverage of multiple countries. You will act upon intelligence received, and investigate complex claims where there are concerns with regards to the authenticityof the claim presented. Working collaboratively with other departments to create a strategy that aids the success of the defence of spurious claims thus securing the right outcome of QBE and our customers. You will work closely with our panel of solicitors,law enforcement and other regulatory bodies.Your new role

• Support the implementation of the Claims strategy to enable delivery of overall business targets
• Investigate and resolve complex Claims of a specialist nature in order to provide excellent Claims handling service with minimal leakage
• Identify and investigate coverage issues so as to ensure that the companys liability is in line with its contractual commitments
• Identify subrogation, contribution and other recovery issues and ensure that these are successfully pursued where appropriate
• Support the development of relationships with internal and external customers to enable the Claims function to fully support their needs
• Support the development of relationships with the Underwriters to enable the Claims function to support the needs of other areas within the business
• Ensure that Claims billings and advices are responded to within agreed timeframes to provide a professional service to brokers and clients
• Respond to internal and external stakeholder requests in accordance with service standards
• Support the Assistant Claims Manager or Team Leader in the production of Management Information reports
• 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 Companys liability is clear at all times
• Ensure accurate and timely update of the companys systems as and when required
• Act as a referral point to other members of the Claims team on specific tasks or in the absence of Assistant Claims Manager or Team Leader as appropriate
• Support the Assistant Claims Manager in the technical mentoring of junior Claims Adjusters and Technicians as required

About you

• Experience of fraud rings and fraud across different lines of business
• Can demonstrate collaboration and relationship building with stakeholders and business partners
• Evidence of competency of statement creation or writing for use within law enforcement and courts is desired but not essential
• Strong Investigative skills
• Extensive and relevant knowledge of Claims in appropriate area
• Experience of working London Markets/Complex claims
• Experience of working within the Motor Claims and Casualty Claims areas
• Good understanding of regulatory bodies
• Demonstrate an understanding of Counter Fraud litigation and prosecution opportunities
• Understanding of class specific Claims knowledge
• Current knowledge of compliance, regulatory and statutory requirements
• Negotiation skills
• Able to produce MI and detailed reports at various levels

Why QBE At My Best At QBE, we want our people to feel rewarded and inspired to perform at their best, thats why we have created At My Best". Its our connection, our way of showing we have your back. We understand that one size doesnt 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. Its in the culture of our business, our QBE DNA, to support our people. Everything we do is underpinned by our QBEDNA - because we know its not just what we do that matters, its 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 to attractand retain the best people to do the job, we have adopted flexible working across the company and welcome this conversation.Some of the awards QBE are proud to have won, been a finalist for, and shortlisted for include; Employer of the Year 2022Winner - Insurance InsiderBritish Claims Awards 2022 Winner - InsurTech Award Insurance Times Claims Excellence Awards 2022 Winner - Claims Product Solution of the Year Working Families Best Practice Awards 2021 Finalist for: Best COVID-19 Response Insurance 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 Year We are proud to have partnerships with organisations such as Stonewall and Working Families, and our commitment to the Women in Finance Charter, the UN Womens 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. About QBEQBE helps businesses build resilience through risk management and insurance.QBE European Operations is part of QBE Insurance Group, one of the worlds leading international insurers and reinsurers and Standard & Poors A+ rated. Listed on the Australian Securities Exchange, QBEs gross written premium for the year ended 31 December2021 was US$18.5 billion.As a business insurance specialist, QBE European Operations offers a range of insurance products from the standard suite of property, casualty and motor to the specialist financial line