Claims Officer

Job description

Primary Details Time Type

Full time Worker Type: Employee This role is responsible for managing frontline customer contacts (various media) and undertaking the appropriate action to resolve the customer’s concern (respond to simple queries, transfer call to correct department, triage call to claim handler). This role is responsible for keeping service levels within target.

Primary Responsibilities

• Ensure compliance with QBE policies, procedures and relevant legislations and regulations
• Ensure compliance within delegated authority limits
• Adherence to triage/ transfer guidelines
• Provide feedback to claims handler on necessary action/ activity on claim
• Maintain effective communication with customers
• Accurately and completely respond to customer’s queries on claims/ on a specific claim
• Settle fast track claims where invoices are already made available by customer at the onset.
• Identify recovery opportunities on claims
• Identify suspicious or potentially fraudulent claims in accordance with QBE fraud indicators. Refer these claims to the Fraud Investigations team.
• Control the call to ensure efficiency in call handling

Required Education

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

Required Experience

• NA Preferred Competencies/Skills
• Customer service skills
• Proficiency in MS tools
• Analytical and negotiation skills
• Excellent verbal and written communication skills (English)
• Preferably with Case Management Skills Preferred Licenses/Certifications
• Abbreviated Injury Scale (AIS) certification is preferred but can also be taken as part of training

Preferred Knowledge

• Preferred Basic Knowledge of Insurance
• Basic Knowledge of Customer Service QBE Cultural DNA
• Everything we do at QBE is underpinned by our DNA (which interlinks seven cultural elements) – because we know it's not just what we do that matters, it's how we do it that makes the difference. We expect all employees to role model and inspire the right behaviours that link to our cultural elements:
• We are customer-focused
• We are technical experts
• We are inclusive
• We are fast-paced
• We are courageous
• We are accountable
• We are a team
• All employees are expected to adhere to QBE’s Code of Ethics and Conduct and apply sound risk management practices US Only - Disclaimer
• To successfully perform this job, the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities.

Job Type

• Individual Contributor Global Disclaimer
• The duties listed in this job description do not limit the assignment of work.

They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employee’s normal duties.

Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company, to each other and to our customers, suppliers, communities and governments. It provides clear guidance to help us to make good judgement calls.

Skills

Analytical Thinking, Claims Administration, Claims Processing, Claims Resolution, Communication, Critical Thinking, Customer Service, Customer Value Management, Financial Advising, Intentional collaboration, Managing performance, Process Compliance, Process Improvements, Risk Management, Stakeholder Management 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.