Claims Specialist (US)

QVC; West Chester (Chester County); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health benefits from day 1

401(k) plan

Tuition reimbursement

Paid time off

Employee discounts

Job summary

QVC Group is seeking a Claims professional to support workers’ compensation, general liability, product and cyber claims from intake to closure. You will collaborate with the Treasury team, evaluate mitigation options, and manage return-to-work processes for U.S.

locations and panel providers. You’ll bring 3+ years in insurance claims, strong knowledge of jurisdictional requirements, and experience with vendor systems and HR/payroll data.

Qualifications

• 3+ years leading end-to-end review of insurance claims.
• 3+ years experience supporting worker’s compensation and general liability claims.
• 3+ years experience using claims service vendor systems or on-site database software to maintain continuity of claims history database.
• 3+ years experience using customer portals, payroll and HR Resource Systems and team member data management.
• 3+ years experience using knowledge of jurisdictional requirements and applicable case law for each claim and respective state.
• 3+ years experience partnering with panel providers to evaluate claims.
• Experience documenting claim review cycle preferred.

Responsibilities

• Manage workers’ compensation claims, general liability claims, product claims and cyber claims from beginning to closure.
• Be the primary contact for evaluating recommendations and decisions with regards to and claim mitigation and resolution.
• End-to-end administrative support of return to work assignments for full and restricted returns for all U.S. QVC locations and panel providers.
• Track and comply necessary statistics for Management.
• Evaluate and submit settlement authority proposals, and reserve increases and decreases.
• Prepare reports detailing claim status, payments, reserves, and claim trends.

Skills

End-to-end claims

Worker’s comp experience

General liability claims

Cyber claims knowledge

Claims system experience

Data management

Tools

Claims software systems

HRIS

Payroll systems

Job description

Working at QVC Group means joining a live social shopping company with incredible teams, ambitious projects and amazing careers. QVC Group, Inc. is a Fortune 500 company with six leading retail brands - QVC®, HSN®, Ballard Designs®, Frontgate®, Garnet Hill® and Grandin Road.

Your Opportunity, Your Team

• Reporting to the Claims & Risk Management Lead - Treasury, you will provide full cycle support for claims. These claims include worker’s compensation claims, general liability & product claims, and cyber claims. Additionally, you will engage with team members directly to provide service. You will process and document claims to ensure compliance with legislative provisions, company policies and insurance industry best practices. You will act in a fiduciary role on behalf of our large deductible, including consultation on the calculation and posting of claim case reserves and the negotiation and resolution of claims.

Where You’ll Work

• This role is hybrid and will require you to be onsite at West Chester, PA several days per month (onsite days are predetermined and standard across the company). Job seekers must reside in one of the following states to be considered: NJ, DE, PA. Relocation assistance is not available for this role.

What You’ll Do

• Manage workers’ compensation claims, general liability claims, product claims and cyber claims from beginning to closure.
• Be the primary contact for evaluating recommendations and decisions with regards to and claim mitigation and resolution.
• End-to-end administrative support of return to work assignments for full and restricted returns for all U.S. QVC locations and panel providers
• Track and comply necessary statistics for Management.
• Evaluate and submit settlement authority proposals, and reserve increases and decreases.
• Prepare reports detailing claim status, payments, reserves, and claim trends.

What You’ll Bring

• 3+ years leading end-to-end review of insurance claims.
• 3+ years experience supporting worker’s compensation and general liability claims.
• 3+ years experience using claims service vendor systems or on-site database software to maintain continuity of claims history database.
• 3+ years experience using customer portals, payroll and HR Resource Systems and team member data management.
• 3+ years experience using knowledge of jurisdictional requirements and applicable case law for each claim and respective state.
• 3+ years experience partnering with panel providers to evaluate claims.
• Experience documenting claim review cycle preferred.

#LI-AC5

Our Total Rewards package includes benefits you’ll love such as competitive compensation, paid time off, an employee assistance program, parental leave, paid volunteer hours, and amazing company discounts! In our US market, you can also expect health care benefits starting on day 1, 401(k), and tuition reimbursement benefits.

QVC Group is committed to inclusion and belonging for all and ensuring that our workplace provides equal employment opportunities for all team members and candidates and complies with all applicable federal, state, and local laws and regulations. As an equal opportunity employer, QVC Group is committed to a barrier-free employment process. If you need reasonable accommodations/support throughout, please contact us at [e-mail] for assistance.

If provided, salary ranges are a general guideline only, and actual salaries will vary and are based on factors such as a candidate’s qualifications, skills, experience, and geographic location as well as business and market conditions.