Lead Financial Lines Claims

QBE Europe; New York (NY); Hybrid; USD 126,000 - 236,000; Full time

Job summary

A leading company is seeking a Lead Financial Lines Claims professional to manage the examination and resolution of complex liability claims. The role requires strong analytical skills and significant experience in claims management. This position is essential for ensuring operational efficiency and fair claim resolution in alignment with company guidelines.

Benefits

Hybrid Working

Paid Family Leave

401(k) with Company Match

Well-being Programs

Tuition Reimbursement

Qualifications

• 8 years relevant experience in claims management.
• Experience managing a diverse portfolio of complex claims.

Responsibilities

• Oversee examination, evaluation, and processing of complex claims.
• Manage investigations, negotiations, and external vendor relationships.

Skills

Claims Settlement

Commercial Acumen

Conflict Resolution

Critical Thinking

Customer Value Management

Insurance Claims Processing

Project Delivery

Education

Bachelor's Degree or equivalent combination of education and work experience

Juris Doctor

Job description

Primary Details

Time Type: Full timeWorker Type: Employee

Lead Financial Lines Claims

• Location: USA – NY – New York, TX- Plano, and IL-Chicago
• Work Arrangement: Hybrid
• The salary range for this role is: $126,0000 - $236,000

The Opportunity

The 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. The role also entails supporting the claims function in specific insurance classes to drive operational efficiency, efficient claims settlement, and fair resolution of claims disputes in line with company guidelines and philosophy.

The selected candidate will manage the complete investigation, evaluation and resolution of assigned portfolio of complex claims emanating the lawyers professional and miscellaneous professional liability business segments, Engages, directs and manages external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants across highly complex portfolio of matters.

Your new role

• Manage a diverse portfolio of complex claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an effective and efficient manner
•Evaluate and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with applicable laws, regulations, statutes, best practices and Department of Insurance (DOI) compliance
•Drive the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim outcomes
•Collaborate with outside representative counsel to formulate litigation strategy ensuring achievement of desired outcome and effective litigation management strategies
•Directs and manage external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants.
•Oversee projects and planning surrounding departmental initiatives to achieve strategic objectives
•Analyze, develop and determine appropriate case reserves on all assigned claim files and recommend changes where necessary to ensure actuarial accuracy
•Advise on specific professional liability areas of specialization and coordinates efforts to disseminate information and guide learning and thought leadership in those areas; serve as the subject matter expert
•Represent QBE by participating in and attending industry seminars or authoring articles pertaining to professional liability subjects
•Collaborate with Underwriters to identify, understand and address novel or complex risks to appropriately price and negotiate terms including participation in sales calls and requests for proposals (RFPs)
•Manage relationships with external vendors to deliver accurate, timely, and cost-effective solutions.
•Take ownership for personal development and career planning, and development of required skills, tools, techniques, and technology to continually add value to the organization.
•Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for expenses to meet requirements and achieve fiscal responsibility

Required Education

• Bachelor's Degree or equivalent combination of education and work experience

Required Experience

• 8 years relevant experience

Preferred Competencies/Skills

• Generate original, innovative solutions to difficult or unusual situations
•Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim
•Financial and business acumen and awareness of financial responsibility
•Quickly change direction when working on multiple projects or issues
•Properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures
•Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
•Assume a methodical approach to a given situation and develop a systematic procedure as a response
•Develop effective negotiation strategies and prepare a plan of action
•Build and capitalize on beneficial internal and external relationships including competitors
•Actively contributes towards continuously improving performance and mentor team with feedback, on-the-job skill enhancement opportunities and career advice
•Build and establish constructive and cooperative working relationships and open lines of communication
•Utilize effective communication skills to influence and persuade decision makers
•Manage a diverse and extensive portfolio of management and professional liability claims with varying levels of complexity and activity.
•Collaborate with internal resources to resolve difficult claims situations and drive resolution opportunities with internal and external stakeholders

Preferred Education

• Juris Doctor

• Compensation Package: The salary range for this role is provided above. The salary offer will be decided based on the role's complexity, its location, and the candidate’s professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE’s annual discretionary bonus plan based on business and individual performance.

• Benefits

  • Hybrid Working – a mix of working from home and in the office.

  • 22 weeks of paid leave depending on the circumstances in growing your family with 12 of those weeks available to all parents, on a gender-equal basis

  • Competitive 401(k) program with company match up to 8%

  • Well-being Programs: Enjoy monthly Guided Meditations and a Well-being Rebate Program for gym memberships, fitness programs, and more.

  • Tuition Reimbursement for continuing education through certifications, external professional development and degree related college courses.

  To learn more, click here: Benefits | QBE US .

  Why QBE ? What if you could have a positive impact – at work and in the world?

  At QBE, we’re enabling a more resilient future – for our customers, communities, environment, and for our people. We’re building momentum to achieve something significant and know our people are at the center of our success.

  Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you’ll get to spend every day working with people who are passionate, talented and kind. And our international scale means we’re big enough for your ambitions, yet small enough for you to make a real impact.

  Join us now, so you can be part of our success – and we can be part of yours!

  https://www.linkedin.com/company/qbe-north-america/

  Commitment to Diversity

  At QBE, we are deeply committed to fostering an inclusive workplace where each person is valued and respected for their authentic selves. If you require any assistance, such as alternative interview accommodation during the recruitment process, please do not hesitate to inform our Talent Acquisition team.

  Equal Employment Opportunity:

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

Additional Job Description (for Internal Job Posting) Additional Job Description (for Internal Job Posting)

Skills:

Adaptability, Claims Settlement, Commercial Acumen, Conflict Resolution, Critical Thinking, Customer Value Management, Insurance Claims Processing, Intentional collaboration, Managing performance, Mentorship, Personal Initiative, Project Delivery, Regulatory Compliance, Risk Management, Team Development

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.

About the company

QBE offers business insurance across the globe, with sector specialist products providing flexible, tailored policies to cover even the most unusual risks.

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