Graduate Claims Adjuster

QBE Insurance - European Operations · Competitive · Leeds
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In this role, you will examine, evaluate and process Claims estimates and paid Claim values in accordance with policy terms and conditions in line with the QBE Claims Philosophy

Primary Responsibilities

  • Investigate and resolve Claims in order to provide excellent Claims handling service with minimal leakage
  • Ensure that estimates and billings are calculated correctly by clients and brokers and that QBEs share has also been correctly calculated
  • Identify and investigate coverage issues so as to ensure that the companys liability is in line with its contractual commitments
  • Identify subrogation, contribution and other recovery issues and ensure that these are successfully pursued where appropriate
  • Manage disputed Claims and other material Claims issues in order to resolve and settle claims on an economic basis
  • Ensure that Claims fees and advices are responded to within agreed timeframes to ensure good service
  • Provide a professional service to brokers and clients which supports the reputation of the Company
  • Ensure that base premiums have been received before making Claim payments
  • Where appropriate, ensure reinstatement premiums have been calculated correctly when making Claim payments
  • Respond to internal and external stakeholder requests in accordance with service standards
  • Flag complaints as required and Treat Customers Fairly
  • Maintain knowledge of the Claims Portfolio and provide information to others on request to ensure the effective monitoring of Claims to support Underwriting and Claims decisions
  • Reserve accurately to ensure that the Companys liability is clear at all times
  • Ensure accurate and timely update of the companys systems as and when required
  • Deal with MI reports when required to maintain status quo and drive down costs and leakage
  • Maintain efficient handling of their own caseload to ensure the prompt, timely and effective handling of Claims
  • Strong investigative skills
  • Negotiation skills
  • Good communication skills
  • Effective presentation skills
  • Relationship Management skills
  • Able to use MS office applications, Word, Excel and Access
  • Able to produce MI and detailed reports at various levels
  • Good understanding of class-specific Claims knowledge
  • Good working knowledge of relevant industry statutes and regulations
  • Ensure awareness of and compliance with regulatory and legislative requirements

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