Complex Claims Adjuster

QBE; Leeds; Hybrid; GBP 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a skilled Complex Claims Adjuster to join their dynamic team in Leeds. In this pivotal role, you'll investigate and manage high-value Medical Malpractice claims, ensuring compliance with SLAs while delivering exceptional service to clients and brokers. This position offers a hybrid work environment and a supportive culture that values diversity and inclusion. With excellent benefits, including generous holiday allowances and flexible working options, this is an exciting opportunity to enhance your career in a company committed to sustainability and community resilience. If you're passionate about making a difference, this role is for you.

Benefits

30 days holiday

Flexible working options

Pension plan with employer contributions

Private medical insurance

Family friendly policies

Remote work abroad options

Cycle-to-Work scheme

Qualifications

• Experience in handling complex high value Medical Malpractice claims.
• Strong organisational, investigative, and analytical skills.

Responsibilities

• Investigate and resolve complex Medical Malpractice claims efficiently.
• Ensure adherence to SLAs and manage claims effectively.

Skills

Adaptability

Analytical Thinking

Claims Settlement

Coaching

Communication

Critical Thinking

Customer Value Management

Insurance Claims Processing

Problem Solving

Regulatory Compliance

Education

Bachelor's Degree in a relevant field

Tools

MS Office

Job description

Primary Details

Time Type: Full timeWorker Type: EmployeeThe purpose of this role is to oversee the examination, evaluation, and processing of complex Claims estimates and paid Claims values, ensuring adherence to policy terms and conditions in alignment with the QBE Claims Philosophy.

Complex Claims Adjuster

Leeds/Hybrid

The opportunity

Join our dynamic and diverse London markets Complex Claims team! We are looking for an experienced Medical Malpractice Complex Claims Adjuster to join our growing team in Leeds. In this exciting role you'll be investigating, managing, and resolving claims with precision and proactive flair, all while ensuring compliance with SLAs and authority levels. With business spanning Australia, South Africa, Israel, the Middle East, Canada and the UK, our dynamic international portfolio offers you the perfect opportunity to elevate and broaden your skills.

With hybrid office working and excellent benefits including 30 days holiday, you will be working in a supportive and inclusive environment. We’re the down-to-earth, international insurer that is neither too big nor small, so you can make a real impact!

Your new role:

• Investigate, manage, and resolve complex Medical Malpractice complex, high value claims efficiently and in a timely manner.
• Ensure adherence to SLAs and authority limits while managing claims.
• Support the implementation of the Claims strategy to enable delivery of overall business targets.
• Identify and investigate coverage issues to ensure that the company’s liability is in line with its contractual commitments.
• Reserve accurately to ensure that the Company’s liability is always clear
• Ensure that messages, advice, and correspondence, are responded to pro-actively and within agreed timeframes to provide a professional service to brokers and clients
• Proactively manage estimates and billings calculated by client’s service providers and brokers resolving any discrepancies.
• Regular interactions with key stakeholders including our customers, brokers, solicitors, external loss adjusters and internal partners
• Manage disputed Claims and other material Claims issues to resolve and settle claims on an economic basis.

About you

• Experience in handling complex high value Medical Malpractice claims. This could be from a claimant or defendant handling background.
• Coaching and mentoring skills
• Current knowledge of compliance, regulatory and statutory requirements
• Organisational, investigative, analytical and negotiation skills
• Ability to make balanced and impartial judgements
• Excellent communication and presentation skills
• Relationship Management skills
• Able to use MS Office applications and strong IT skills

At My Best - QBE Benefits

You are more than your work – and QBE is more than a workplace, which is why we provide you with the benefits, support and flexibility to help you concentrate on living your best life personally and professionally. FOR UK ONLY: As well as the benefits below we also offer an extensive choice of other options to suit you!

• 30 days holiday a year with the option to buy up to 2 additional days.
• Flexible working - balancing work and life is important so our flexible working opportunities are open to all, this can include part-time, job share and compressed hours.
• Pension – you are automatically enrolled into the QBE pension plan, which entitles you to receive employer contributions of 10% of your basic salary.
• Private medical insurance – we fund fully comprehensive private medical cover for you and all the family.
• Family friendly policies – we offer 26 weeks leave at full pay regardless of gender identity, sexual orientation or how you become a parent.
• Short term remote work abroad - you can request up to 20 days per year to work remotely from certain locations abroad.
• Sustainable investing - we believe sustainable integration is important for long term financial, environmental, and social outcomes. Our pension strategy supports our net-zero goal to achieve year-on-year reductions in carbon footprint, by investing more in green businesses than the broader market, so your savings are looking after the planet's future, as well as your own.
• Cycle-to-Work – benefit from regular exercise whilst making your commute greener and cheaper, select and bike and/or accessories up to the value of £5,000.

To find out more visit ourReward Page

QBE Awards

Some of the award’s QBE are proud to have won, been a finalist for, and shortlisted for include;

AXCO Global Insurance Awards 2024 Winner: Network Management of the Year

Insurance Business UK 5-Star Cyber Awards 2024: QBE rated as a 5-Star Cyber Insurer

UK IT Industry Awards 2023 Winner: Green Technology Innovation of the Year

Working Dads Employer Awards 2023 Winner: Parental Policies Award

Insurance Post British Insurance Awards 2023: QBE rated as a 5-Star Employee

You can view all our awards here

Inclusion of Diversity

We 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 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 transparent. For more information on our strategy targets please take a look at our Careers Page

Accessibility

Here at QBE, we are promoting an accessible workplace for all, which includes supporting candidates to perform at their best during their recruitment process. If you require any accommodations, please make your Talent Acquisition contact aware.

ESG & Sustainability

At QBE, we believe that integrating sustainability into our business helps us deliver on our purpose of enabling a more resilient future. Our three key focus areas include fostering an orderly and inclusive transition to a net-zero economy, enabling a sustainable and resilient workforce, and partnering for growth through innovative, sustainable, and impactful solutions. For further information regarding QBE’s sustainability targets, including our net-zero pledges and inclusion of diversity targets, and our award-winning impact investment initiative ‘Premiums4Good’, please visit our Sustainability homepage and read our latest Sustainability Report

What next?

If you have a passion to contribute to QBE’s vision of enabling a more resilient future for our customers and the community, we encourage you to apply! Simply click the “apply” button to submit your CV and other relevant documents, and a member of our friendly Talent Acquisition team will be in contact to discuss your interest further if you meet the requirements of the role.

We believe this is our moment – what if it was yours too?

APPLY NOW and let’s make it happen!

Skills:

Adaptability, Analytical Thinking, Claims Settlement, Coaching, Communication, Critical Thinking, Customer Value Management, Insurance Claims Processing, Intentional collaboration, Managing performance, Problem Solving, Regulatory Compliance, Risk Management, Standards Compliance, Working Independently

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.