Senior Claims Specialist - Accident & Health (Medical Stop Loss)

Senior Claims Specialist- Accident & Health (Medical Stop Loss) Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $88,000-145,000 Opportunity The purpose of this role is to provide exceptional claims service to customers by managing complex claims effectively. This includes assessing policy coverage, investigating, evaluating, and negotiating intricate claims, collaborating with suppliers and stakeholders, and offering senior technical guidance and support. Your New Role Provide technical guidance and analysis for complex and high-value claims. Assist in implementing and maintaining claims management strategies. Maintain comprehensive knowledge of insurance guidelines and policies. Build and maintain relationships with stakeholders. Manage a portfolio of complex or high-value claims. Act as an escalation point for customer complaints. Provide senior technical expertise and mentoring for team development. Engage with the team to encourage partner relationships. Support process improvement through negotiation and dispute resolution. Work Experience Relevant experience in classes. Management of complex and/or high value claims. Involvement with relevant industry groups. Qualifications Tertiary Degree or equivalent combination of education and work experience. Compensation Package The salary range for this role is provided above. 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, full‑time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. 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 counseling, financial and legal advice. Tuition Reimbursement for professional certifications and continuing education. Employee Network and Community – QBE supports six Employee Networks and many ways to give back to your community. 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, disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full‑time basis without the need for current or future sponsorship. #J-18808-Ljbffr