Manager - Health Claims
qbe
Primary Details
Time Type: Full timeWorker Type: EmployeeManage the claims function in the specified insurance classes to ensure operational efficiency, efficient claims settlement and equitable solution to claims dispute in accordance with company claims philosophy and guidelines as well as deploying skills and resources for staff development.Primary Responsibilities
• Strategy and Planning
•Assist with the implementation and maintenance of claims management strategies and objectives
•Assist with new ideas and concepts to support the development and delivery of the business plan for the region / branch
•Freedom to influence within specific authorities
•Strong influence on operational performance
•Policy, Process and Procedures
•Develop and implement processes to ensure that the Claims function is aligned to the needs of the class of business
•Continuous refinement of processes and procedures to improve Claims systems and procedures
•Approve substantial claims within appropriate authority levels
•Environmental Awareness/Customer Focus
•Develop and maintain good client relationships with the insured, agents, service providers and the general public
•Work with key stakeholders/business managers to develop sustainable Claims products and services to attract and retain customers and increase profitability
•Technical Performance
•Ensure recoverable amounts are assessed and effectively followed up and approving significant claims within written authority levels
•Ensure legitimate claims are paid in accordance with policy conditions by providing technical expertise and leadership
•Provide guidance and input to the investigation and settlement of all claims within the team
•People Management
•Motivate and develop the team by demonstrating good leadership behaviors and through the use of management best practice, to enable development of staff to support the achievement of business goals
•Maintain a “can do” operating culture that encourage ONEQBE Values while helping to develop QBE’s reputation within the industry as claims services organization that is competent, capable, tough, smart and responsive
•Attract, develop and retain high quality workforce with the knowledge, skill and will to deliver excellent claim outcomes and customer service
•Support training and skill development programmes
•Undertaking the performance review process, providing feedback and improving individual adjuster performance
Preferred Competencies/Skills
• Interpersonal and communication skills
• Analytical and presentation skills
• Problem solving skills
Preferred Education Specifics
• University Degree or professional qualification in insurance or related disciplines
Preferred Experience
• At least 15 years working experience in handling claims with 10 years in a supervisory role.
Preferred Knowledge
• Board knowledge of insurance industry and claims processes
• Solid working knowledge of Claims classes and service requirements
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.
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:
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.