Not specified (assumed to be in-office or hybrid based on the role's nature).
End-to-end claims management
Policy coverage interpretation
Fraud identification and reporting
QBE North America is seeking a Claims Officer to manage the end-to-end claims process, including customer interactions and compliance with regulations. The ideal candidate will have strong analytical and customer service skills, along with a Bachelor's degree or equivalent experience
Job Summary
This role is responsible for managing the entire lifecycle of insurance claims from intake to finalization.
The incumbent must interpret policy coverage to determine claim acceptance or decline while adhering to delegated authority limits.
Employees are expected to identify suspicious activities and refer potential fraud cases to the dedicated investigations team.
Matching Summary
Match Score: 75
QBE North America is seeking a Claims Officer to manage the end-to-end claims process, including customer interactions and compliance with regulations. The ideal candidate will have strong analytical and customer service skills, along with a Bachelor's degree or equivalent experience.
Skills & Requirements
Must-have
End-to-end claims management
Policy coverage interpretation
Fraud identification and reporting
Supplier coordination and payment
SLA compliance adherence
Nice-to-have
Case management skills
Basic insurance knowledge
Customer service excellence
Analytical and negotiation skills
Process improvement mindset
Key Requirements
Bachelor's Degree or equivalent experience
US work authorization required
Knowledge of insurance legislation and regulations