Cost Containment Lead

Primary Details
Time Type: Full time

Worker Type: Employee

Cost Containment Lead

• Location: USA - Marblehead, MA
• Work Arrangement: Hybrid if within 50 miles from office location
• The salary range for this role is: $47,000K-$220,000K

The Opportunity

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

Your new role:

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

Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. 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, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.

QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:

• 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 counselling, financial and legal advice
• Tuition Reimbursement for professional certifications, and continuing education
• Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community

To learn more, click here: Benefits | QBE US

Why QBE? What if you could have a positive impact - at work and in the world?

At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.

Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact.

Join us now, so you can be part of our success - and we can be part of yours!

Commitment to Diversity


QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.


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; or disability or any other legally protected status.


Supplementary information


Skills:
Administration Management, Analytical Thinking, Communication, Critical Thinking, Customer Service, Financial Risk Management (FRM), Intentional collaboration, Managing performance, Negotiation, Operations Management, Regulatory Compliance, Risk Management, Stakeholder Management, Strategic Management, Team 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.