Current jobs related to Senior Claims Specialist - Marblehead - QBE Insurance
-
Payroll Specialist
1 week ago
Marblehead, Massachusetts, United States Associated Home Care Full timeAbout Associated Home CareWe are a mission-driven organization dedicated to improving the lives of seniors as they age. Our comprehensive, vetted, and coordinated in-home service network is high-touch, tech-enabled, compassionate, and extremely well managed.The OpportunityWe are passionate about providing seniors and their families with a convenient and...
-
Senior Mental Health Specialist
3 days ago
Marblehead, Massachusetts, United States Mass General Brigham Full timeMass General Brigham is seeking a skilled Mental Health Specialist to oversee the coordination of behavioral health safety officer care in the Emergency Department. Responsibilities include case assignment, direct patient service, and supervision of behavioral health safety officer staff. This position requires effective mental health intervention, case...
-
Senior Registered Nurse
1 week ago
Marblehead, Massachusetts, United States Mass General Brigham Full timePurpose of Position:Under the supervision of a Head Nurse, the Senior Registered Nurse provides professional nursing care to patients within an assigned unit. This role involves diagnosing and treating responses to actual or potential health problems through nursing methods and techniques. The nurse serves as a team leader and assists in guiding and...
-
Nursing Care Specialist
3 days ago
Lakeside Marblehead, OH, United States Otterbein Senior Life Full timeWe are seeking a compassionate and skilled Licensed Practical Nurse (LPN) to join our team at Otterbein Senior Life. As a LPN, you will play a vital role in providing high-quality care to our residents, collaborating with physicians and other healthcare professionals to ensure the best possible outcomes.Otterbein Senior Life is a non-profit organization...
-
Transportation Specialist
1 month ago
Marblehead, Massachusetts, United States Otterbein SeniorLife Full timeJob SummaryAt Otterbein SeniorLife, we are seeking a skilled and compassionate Driver to join our team. As a Driver, you will play a vital role in enhancing the lives of our residents by providing safe and reliable transportation services.Key ResponsibilitiesOperate community-owned vehicles to transport residents and partners, ensuring a high level of...
-
Nurse Care Specialist
2 days ago
Marblehead, Massachusetts, United States Otterbein SeniorLife Full timeJob OverviewWe are seeking a compassionate and skilled Registered Nurse (RN) to provide high-quality care to our residents. The ideal candidate will have a strong background in nursing and excellent communication skills.Key Responsibilities:Provide direct care to residents, including administering medications and performing various medical...
-
Nurse Specialist
1 week ago
Marblehead, Massachusetts, United States BAYADA Home Health Care Full timeAbout the RoleBAYADA Home Health Care is seeking a skilled Registered Nurse to deliver exceptional medical care to residents in Senior Living Communities. As a home health nurse, you will be an integral member of a multi-disciplinary health care team that provides skilled nursing and rehabilitative care to clients, affording them the opportunity to receive...
-
Senior Mental Health Specialist
7 days ago
Marblehead, Massachusetts, United States Mass General Brigham Full timeMass General Brigham is seeking a skilled mental health professional to oversee the coordination of patient care in the Emergency Department. The ideal candidate will have experience in behavioral health and be able to provide effective mental health intervention to patients and their families.Responsibilities include:Assignment of cases to behavioral health...
-
Senior Facilities and Maintenance Specialist
4 weeks ago
Marblehead, Massachusetts, United States Town of Marblehead Full timeJob SummaryThis position is responsible for performing various maintenance tasks on department buildings, facilities, and equipment. The ideal candidate will have a strong background in electrical knowledge and experience working with primary and secondary voltage and electrical generation machinery and equipment.Key ResponsibilitiesPerform preventative...
-
Nurse Specialist
6 days ago
Marblehead, Massachusetts, United States BAYADA Home Health Care Full timeHome Health Care OpportunityBAYADA Home Health Care is seeking a skilled nurse to provide exceptional medical care to residents in Senior Living Communities. As a home health nurse, you will be an integral member of a multi-disciplinary health care team that provides skilled nursing and rehabilitative care to clients, affording them the opportunity to...
-
Nurse Care Specialist
3 days ago
Lakeside Marblehead, OH, United States Otterbein Senior Life Full timeOverview:We are seeking a compassionate Registered Nurse to provide direct care to residents at Otterbein SeniorLife. The ideal candidate will collaborate with physicians, residents, and the multi-disciplinary team to provide physical and psychological support. Our person-centered care approach honors the residents' choices and provides a supportive...
Senior Claims Specialist
3 months ago
Time Type: Full time
Worker Type: Employee
The Opportunity
The role will manage a portfolio of complex claims by conducting loss investigations, evaluations and settlements on moderate to high level claims for the Accident and Health business unit. Assures timely and accurate reserves. Effective communication and collaboration with Underwriting, Actuary, Legal and Risk. Working within specific limits and authority, conduct and coordinate loss investigations on technically complex claims to provide accurate facts for disposition.
Primary Responsibilities
• Implement the administration of insurance coverage to complex claims by conducting loss investigations, analyzing factual information, interpreting insurance policies and applying legal and technical knowledge to independently resolve claims files in a timely manner
•Negotiate claims settlements by collaborating with subject matter experts and involved parties, recommending appropriate reserve modifications for assigned claims and communicating solutions to mitigate risks and coverage conflicts and achieve cost effective outcomes
•Inform internal and external stakeholders on claims resolution processes by summarizing factual information, reporting out-of-scope, specialized exposures and accurately managing documentation of assigned claims to ensure effective communication of current state for individual claims portfolio
•Facilitate strong working relationships by communicating across the organization and reporting on approved, cost-effective claims strategies to ensure understanding of Claims operations and encourage a collaborative approach to enhancing the business
•Participate in claims specialist onboarding by sharing technical knowledge, recommending solutions to complex, escalated issues, training on department processes and procedures and demonstrating application of best practices to assist in development of new team members
•Support claims workflow efficiency by accurately documenting portfolio progress, referring high risk exposures outside authority levels and seeking opportunities that enhance operational knowledge to ensure achievement of individual and department objectives
•Ensure correct, cohesive and efficient customer solutions by collaborating and supporting team in decision-making to foster partnered approach to claims undertakings
•Establish a personal, empathetic connection with customers by providing comprehensive communication to ensure thorough understanding of available claims deliverables
•Contribute to a positive work environment by demonstrating cultural expectations and influencing others to reward performance and value can do" people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and fun
Required Education
• Bachelor's Degree or equivalent combination of education and work experience
Required Experience
• 5 years relevant experience
Preferred Competencies/Skills
• Utilize effective communication to effectively influence and persuade decision makers; understand the needs and goals of customers and actively look for ways to meet them
•Mediate and resolve conflict using a logical approach
•Identify relevant information and understand it's impact
•Maintain integrity of claims portfolio and evidence
•Use multiple resources to gather and analyze significant data
•Leverage technical knowledge to make cost-effective decisions
•Encourage open communication, cooperation and knowledge sharing
•High attention to detail
•Implement planning to organize, prioritize and measure individual work
Preferred Experience
• Experience in a claims department or the insurance industry
•Experience handling workers compensation claims
Preferred Licenses/Certifications
• Registered Nurse (RN)
Preferred Knowledge
• Working knowledge of claims administration best practices and procedures
•Working knowledge of insurance products and services
•Broad understanding of relevant laws and regulations across multiple jurisdictions
•Basic understanding of market trends and organizational strategies
•Working knowledge of Microsoft Office Suite, general computer software and database systems
bout QBE
We can never really predict what's around the corner, but at QBE we're asking the right questions to enable a more resilient future by helping those around us build strength and embrace change to their advantage.
We're an international insurer that's building momentum towards realizing our vision of becoming the most consistent and innovative risk partner.
And our people will be at the center of our success. We're proud to work together, and encourage each other to enable resilience for our customers, our environment, our economies and our communities.
With more than 12,000 people working across 27 countries, we're big enough to make a real impact, but small enough to provide a friendly workplace, where people are down-to-earth, passionate, and kind.
We believe this is our moment: What if it was yours too?
Your career at QBE - let's make it happen
https://www.linkedin.com/company/qbe-north-america/
US Only - Travel Frequency
• Occasional (approximately 5-10 trips annually)
US Only - Physical Demands
• General office jobs: Work is generally performed in an office environment in which there is not substantial exposure to adverse environmental conditions. Must have the ability to remain in a stationary position for extended periods of time. Must be able to operate basic office equipment including telephone, headset and computer. Incumbent must be able to lift basic office equipment up to 20 lbs.
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.
Inclusion of 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 accommodations during the recruitment process, please do not hesitate to inform our Talent Acquisition team.
Compensation
Base pay offered will vary depending on, but not limited to education, experience, skills, geographic location and business needs
Annual Salary Range: $70,000 - $104,000
AL, AR, AZ, CO (Remote), DE, FL, GA, IA, ID, IL (Remote), IN, KS, KY, LA, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NV, OH, OK, OR, PA, SC, SD, TN, TX (Remote, Plano), UT, VA, VT, WI, WV and WY
* * * * *
Annual Salary Range: $77,000 - $115,000
CA (Remote, Fresno, Irvine and Woodland), Greenwood Village CO, CT, Chicago IL, MA, MD, NY (Remote), RI, Houston TX and WA
* * * * *
Annual Salary Range: $87,000 - $131,000
San Francisco CA, NJ and New York City NY
Benefit Highlights
You are more than your work - and QBE is more than a workplace, which is why QBE provides you with the benefits, support and flexibility to help you concentrate on living your best life personally and professionally. Employees scheduled over 30 hours a week will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health.
We also offer a competitive 401(k) contribution and a paid-time off program. In addition, our paid-family and care-giver leaves are available to support our employees and their families. Regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance.
At QBE, we understand that exceptional employee benefits go beyond mere coverage and compensation. We recognize the importance of flexibility in the work environment to promote a healthy balance, and we are committed to facilitating personal and professional integration for our employees. That's why we offer the opportunity for hybrid work arrangements.
If this role necessitates a hybrid working model, candidates must be open to attending the office 8-12 days per month. This approach ensures a collaborative and supportive work environment where team members can come together to innovate and drive success.
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.
