Specialist, Claims Operations

Specialist, Claims Operations Location: USA – Marblehead, MA and Atlanta, GA Work Arrangement: Hybrid Salary Range: $76,000 - $125,500K Time Type: Full time Worker Type: Employee The Opportunity The role supports the day-to-day operational execution of A&H Claims by managing workflows, coordinating with internal and external partners, and driving consistency across intake, reporting, and process execution. The focus is on improving efficiency, data quality, and overall claims operations performance. Responsibilities Support day-to-day claims operations by tracking workflows, following up on outstanding items, and ensuring workflows are progressing as expected. Coordinate with internal teams and external partners to gather claim information and assist with issue resolution. Help manage intake and backlog by organizing incoming work and routing items appropriately. Review reports and data for completeness, flagging any missing or inconsistent information. Assist with maintaining accurate records to support reporting and audit readiness. Escalate issues or delays and support follow-through to resolution. Support process improvements by identifying efficiencies and assisting with implementation of standardized workflows. Provide general operational support to the Claims team as needed. Required Experience 1–3 years of experience in a professional, administrative, or operational support role. Strong organizational skills with the ability to manage multiple tasks and follow through on details. Experience working with data, reports, or tracking workflows in a structured environment. Preferred Experience Experience in medical stop loss insurance, claims, or a related industry. Experience working with external partners, vendors, or shared service teams. Familiarity with claims systems, reporting tools, or operational processes. Qualifications Bachelor’s degree or equivalent combination of education and relevant work experience. Strong organizational, communication, and follow-up skills. Proficiency in Microsoft Office (Excel, Outlook, Teams) and comfort working with data and reports. Ability to manage multiple tasks, prioritize work, and meet deadlines in a fast-paced environment. Desired Skills Analytical Thinking Business Process Improvements Claims Settlement Critical Thinking Customer Service Insurance Analysis Insurance Claims Management Insurance Policies Intentional Collaboration Managing Performance Negotiation Problem Solving Risk Management Sound Judgment Stakeholder Management Compensation Package The salary range above reflects the national range for the locations listed. Base salary will be determined based on role complexity, location, and candidate’s background. Employees will also be eligible for QBE’s annual discretionary bonus plan based on business and individual performance. Benefits Hybrid working – mix of home and 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 support. Commitment to Diversity QBE is committed to providing reasonable accommodation to individuals with disabilities and disabled veterans and others requiring accommodations. Equal Employment Opportunity QBE provides equal employment opportunities to applicants and employees without regard to race, color, gender, gender identity, sexual orientation, religious practices, national origin, pregnancy, childbirth, protected veteran status, disability, or any other legally protected status. #J-18808-Ljbffr QBE North America