Senior Technical Claims Specialist

Qbena; New York (NY); Hybrid; USD 124,000 - 233,000; Full time

Benefits offered by this job

Hybrid Working

Paid family leave

401(k) with company match

Well-being program

Tuition reimbursement

Job summary

QBE seeks a Senior Technical Claims Specialist to manage a portfolio of high severity professional liability claims across the USA, including New York, Chicago and Plano. You will oversee investigations, liability analysis, and complex negotiations with external counsel and vendors.

This is a hybrid role requiring collaboration with underwriters and specialists to drive optimal outcomes. The ideal candidate has 5+ years of professional liability experience, a law degree or equivalent, and

Qualifications

• Law degree or equivalent combination of education and experience required.
• Relevant insurance qualifications/designations preferred.
• Active adjusters licenses for pertinent jurisdictions.

Responsibilities

• Investigate, evaluate and resolve high severity MPL claims with efficiency.
• Interpret insurance contracts and manage reserves with accuracy.
• Negotiate resolutions within authority and applicable laws.
• Coordinate with external counsel, vendors and underwriters.
• Lead projects supporting departmental strategic objectives.
• Document findings and mentor team on best practices.

Skills

Fact investigations

Negotiation

Analytical thinking

Communication

Risk assessment

Leadership

Education

Law degree

Insurance qualifications

Job description

Primary Details

Time Type: Full time

Worker Type: Employee

Senior Technical Claims Specialist

• Location: USA – New York, Chicago and Plano
• Work Arrangement: Hybrid
• The salary range for this role is: $124,000-$233,000

The Opportunity

Manages 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

Responsibilities:

• Manage a diverse portfolio exclusively of high severity 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 MPL 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 MPL 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

• Law Degree or equivalent combination of education and work experience preferred
• Relevant insurance qualifications/designations

Required Experience

• 5 plus 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 (MPL) 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
• Active adjusters licenses for pertinent jurisdictions

Preferred Experience

• Experience handling professional liability matters
• Advanced experience in other segments of professional lines industry, including agency, retail or wholesale brokerages, third-party administrator, risk management, legal or other roles

Preferred Knowledge

• Advanced working knowledge of current and possible future MPL products, policies, practices, trends, technology and information affecting the business and organization; knows how the business works
• Advanced working knowledge of relevant MPL claims legal and technical knowledge for all US jurisdictions
• Advanced working knowledge of insurance policy and contract language
• Advanced working knowledge of business and management principles involved in strategic planning, resource allocation, leadership technique and coordination of people and resources
• Advanced working knowledge of experts in field of concentration, including attorneys, mediators, judges and experts

Compensation Package:

The salary range for this role is provided above. This is the national range for location(s) listed. 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. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.

QBE Benefits:

• Hybrid Working – a mix of working from home and in the office
• 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
• Competitive 401(k) program with company match up to 8%
• Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
• Tuition Reimbursement for professional certifications, and continuing education
• Employee Network and Community – QBE actively supports six Employee Networks, and many ways to give back to your community

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.

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

Commitment to Diversity

QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.

Equal Employment Opportunity:

QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status.

Supplementary information

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

Equal Employment Opportunity:

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