Claims Adjuster - Leeds, United Kingdom - QBE

QBE

Verified Company

Leeds, United Kingdom

2 weeks ago

Posted by:

Tom O´Connor

beBee Recruiter

Description

Primary Details

Time Type:
Full time

Worker Type:
Employee

To examine, evaluate and process Claims estimates and paid Claim values in accordance with policy terms and conditions in line with the QBE Claims Philosophy

Primary Responsibilities

Investigate and resolve Claims in order to provide excellent Claims handling service with mínimal 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 Claims

Preferred Competencies/Skills

Strong investigative skills
Negotiation skills
Good communication skills
Effective presentation skills
Relationship Management skills
Able to produce MI and detailed reports at various levels

Preferred Knowledge

Good working knowledge of QBE systems
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 requirements

QBE Cultural DNA

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.

How to Apply:

Equal Employment Opportunity:

QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.