Claims Adjuster

QBE Insurance; United States; Hybrid; USD 53,619 - 80,428; Full time

Benefits offered by this job

30 days holiday

Flexible working

Pension plan with 10% employer contrib

Private medical insurance

Family friendly policies

Remote work abroad

Sustainable investing

Cycle-to-Work

Job summary

QBE Insurance in Leeds is seeking a Claims Adjuster to join the FSM claims team on a hybrid basis. You will investigate, manage and resolve complex professional indemnity claims, determine policy coverage and negotiate settlements within agreed authorities and SLAs.

Reporting to the Claims Team Leader, you will work with brokers and clients, maintain relationships, and contribute to delivering exceptional service while complying with regulatory and statutory requirements.

Qualifications

• Experience handling professional negligence claims (preferred).
• Knowledge of compliance, regulatory and statutory requirements.
• Proven experience dealing with policy coverage.
• Organisational, investigative, analytical and negotiation skills.
• Excellent communication and presentation skills.
• Relationship management skills.
• Proficiency with MS Office applications and strong IT skills.

Responsibilities

• Investigate, manage and resolve professional indemnity 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 always stays clear.
• Consume and respond proactively to messages, advice, and correspondence 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 discrepancies.
• Maintain regular interactions with key stakeholders including customers, brokers and internal partners.
• Manage disputed claims and other material claim issues to resolve and settle claims on an economic basis.

Skills

Claims handling

Regulatory compliance

Policy coverage

Investigative skills

Negotiation

Communication

Relationship management

MS Office

Tools

MS Office

Job description

Job Overview

Claims Adjuster – Leeds/Hybrid.

Time type: Full time. Worker type: Employee.

Please note: Applicants must have the right to work in the UK as visa sponsorship is not available for this role.

We are recruiting for a Claims Adjuster within the FSM claims team handling professional indemnity claims. You will investigate, manage, and resolve complex claims accurately and proactively, within SLAs and agreed authorities.

Reporting to the Claims Team Leader, you will deliver exceptional claims services by determining policy coverage, investigating, evaluating, and negotiating assigned cases, and providing timely and accurate support for high‑complexity claims management with a particular focus on professional indemnity claims.

Responsibilities

• Investigate, manage and resolve professional indemnity 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 always stays clear.
• Consume and respond proactively to messages, advice, and correspondence 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 discrepancies.
• Maintain regular interactions with key stakeholders including customers, brokers and internal partners.
• Manage disputed claims and other material claim issues to resolve and settle claims on an economic basis.

Qualifications

• Experience handling professional negligence claims (preferred).
• Current knowledge of compliance, regulatory and statutory requirements.
• Proven experience dealing with policy coverage.
• Organisational, investigative, analytical and negotiation skills.
• Ability to make balanced and impartial judgments.
• Excellent communication and presentation skills.
• Relationship management skills.
• Proficiency with MS Office applications and strong IT skills.

Benefits

• 30 days holiday a year with option to buy up to 2 additional days.
• Flexible working opportunities, including part-time, job share and compressed hours.
• Pension – automatically enrolled into the QBE pension plan with 10% employer contribution.
• Private medical insurance – fully comprehensive private medical cover for you and all the family.
• Family friendly policies – 26 weeks leave at full pay regardless of gender identity, sexual orientation or way of becoming a parent.
• Short‑term remote work abroad – up to 20 days per year to work remotely from certain locations abroad.
• Sustainable investing – pension strategy supporting net‑zero goal.
• Cycle‑to‑Work – benefit for commuting by bicycle up to £5,000 value.

Equal Employment Opportunity

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