Complex Claims Adjuster

The purpose of this role is to oversee the examination, evaluation, and processing of complex claims estimates and paid claims values, ensuring adherence to policy terms and conditions in alignment with the QBE Claims Philosophy.

Join our dynamic and diverse London markets Complex Claims team! We are looking for an experienced Medical Malpractice Complex Claims Adjuster to join our growing team in Leeds. In this exciting role you'll be investigating, managing, and resolving claims with precision and proactive flair, all while ensuring compliance with SLAs and authority levels. With business spanning Australia, South Africa, Israel, the Middle East, Canada and the UK, our dynamic international portfolio offers you the perfect opportunity to elevate and broaden your skills. With hybrid office working and excellent benefits including 30 days holiday, you will be working in a supportive and inclusive environment.

Your new role:

• Investigate, manage, and resolve complex Medical Malpractice complex, high value claims efficiently and in a timely manner.
• Ensure adherence to SLAs and authority limits while managing claims.
• Support the implementation of the Claims strategy to enable delivery of overall business targets.
• Identify and investigate coverage issues to ensure that the company’s liability is in line with its contractual commitments.
• Reserve accurately to ensure that the Company’s liability is always clear.
• Ensure that messages, advice, and correspondence, are responded to pro-actively and within agreed timeframes to provide a professional service to brokers and clients.
• Proactively manage estimates and billings calculated by client’s service providers and brokers resolving any discrepancies.
• Regular interactions with key stakeholders including our customers, brokers, solicitors, external loss adjusters and internal partners.
• Manage disputed claims and other material claims issues to resolve and settle claims on an economic basis.

About you:

• Experience in handling complex high value Medical Malpractice claims. This could be from a claimant or defendant handling background.
• Coaching and mentoring skills.
• Current knowledge of compliance, regulatory and statutory requirements.
• Organisational, investigative, analytical and negotiation skills.
• Ability to make balanced and impartial judgements.
• Excellent communication and presentation skills.
• Relationship Management skills.
• Able to use MS Office applications and strong IT skills.

At My Best - QBE Benefits:

• 30 days holiday a year with the option to buy up to 2 additional days.
• Flexible working - balancing work and life is important so our flexible working opportunities are open to all, this can include part-time, job share and compressed hours.
• Pension – you are automatically enrolled into the QBE pension plan, which entitles you to receive employer contributions of 10% of your basic salary.
• Private medical insurance – we fund fully comprehensive private medical cover for you and all the family.
• Family friendly policies – we offer 26 weeks leave at full pay regardless of gender identity, sexual orientation or how you become a parent.
• Short term remote work abroad - you can request up to 20 days per year to work remotely from certain locations abroad.
• Sustainable investing - we believe sustainable integration is important for long term financial, environmental, and social outcomes.
• Cycle-to-Work – benefit from regular exercise whilst making your commute greener and cheaper, select and bike and/or accessories up to the value of £5,000.

Inclusion of Diversity:

We are striving to create a workplace culture where all our people feel included, and we are committed to building a diverse workforce that is reflective of the communities we operate in.

Accessibility:

Here at QBE, we are promoting an accessible workplace for all, which includes supporting candidates to perform at their best during their recruitment process. If you require any accommodations, please make your Talent Acquisition contact aware.

ESG & Sustainability:

At QBE, we believe that integrating sustainability into our business helps us deliver on our purpose of enabling a more resilient future.