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Senior Claims Specialist

QBE North America

Senior Specialist Financial Lines Claims Location: USA – Multi Office Locations (Chicago, Atlanta, New York, and Plano) Work Arrangement: Hybrid Salary Range: $99,000 - $186,000K Overview Manages the complete investigation, evaluation and resolution of assigned portfolio of complex claims emanating from Professional Lines business segments, including lawyers and miscellaneous professionals. Engages, directs and manages external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants across highly complex portfolio of matters. Responsibilities Manage a diverse portfolio of complex claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an effective and efficient manner Evaluate and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with applicable laws, regulations, statutes, best practices and Department of Insurance (DOI) compliance Drive the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim outcomes Collaborate with outside representative counsel to formulate litigation strategy ensuring achievement of desired outcome and effective litigation management strategies Direct and manage external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants Oversee projects and planning surrounding departmental initiatives to achieve strategic objectives Analyze, develop and determine appropriate case reserves on all assigned claim files and recommend changes where necessary to ensure actuarial accuracy Advise on specific professional liability areas of specialization and coordinate efforts to disseminate information and guide learning and thought leadership in those areas; serve as the subject matter expert Represent QBE by participating in and attending industry seminars or authoring articles pertaining to professional liability subjects Collaborate with Underwriters to identify, understand and address novel or complex risks to appropriately price and negotiate terms including participation in sales calls and requests for proposals (RFPs) Manage relationships with external vendors to deliver accurate, timely, and cost‑effective solutions Take ownership for personal development and career planning, and development of required skills, tools, techniques, and technology to continually add value to the organization Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for expenses to meet requirements and achieve fiscal responsibility Required Education Bachelor's Degree or equivalent combination of education and work experience Required Experience 8 years relevant experience Preferred Competencies / Skills Generate original, innovative solutions to difficult or unusual situations Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim Financial and business acumen and awareness of financial responsibility Quickly change direction when working on multiple projects or issues Properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems Assume a methodical approach to a given situation and develop a systematic procedure as a response Develop effective negotiation strategies and prepare a plan of action Build and capitalize on beneficial internal and external relationships including competitors Actively contributes towards continuously improving performance and mentor team with feedback, on‑the‑job skill enhancement opportunities and career advice Build and establish constructive and cooperative working relationships and open lines of communication Utilize effective communication skills to influence and persuade decision makers Manage a diverse and extensive portfolio of management and professional liability (MLPL) claims with varying levels of complexity and activity Collaborate with internal resources to resolve difficult claims situations and drive resolution opportunities with internal and external stakeholders Preferred Education Juris Doctor Preferred Experience Experience handling legal malpractice and miscellaneous professional liability claims Advanced experience in other segments of professional lines industry, including agency, retail or wholesale brokerages, third‑party administrator, risk management, legal or other roles Preferred Knowledge Advanced working knowledge of current and possible future professional liability products, policies, practices, trends, technology and information affecting the business and organization; knows how the business works Advanced working knowledge of relevant professional liability claims legal and technical knowledge for all US jurisdictions Advanced working knowledge of insurance policy and contract language Advanced working knowledge of business and management principles involved in strategic planning, resource allocation, leadership technique and coordination of people and resources Advanced working knowledge of experts in field of concentration, including attorneys, mediators, judges and experts 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 well‑being 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 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. #J-18808-Ljbffr

Vacancy posted 1 day ago
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