Claims Officer

7 days ago


City Of Kingston, Australia QBE Insurance Group Full time
About the Role

We are seeking a highly skilled Claims Officer to join our team at QBE Insurance Group. As a Claims Officer, you will play a pivotal role in supporting our claims philosophy and strategy, managing end-to-end personal injury and public liability claims, and acting within legislative requirements to achieve our targeted objectives.

Key Responsibilities
  • Receiving, recording, and processing all incoming insurance claims in the Claims team
  • Interpreting policy coverage and determining if coverage applies to claims submitted, escalating issues as needed
  • Setting reserves and authorizing payments within scope of authority, settling claims in the most cost-effective manner
  • Identifying suspicious or potentially fraudulent claims, notifying supervisor, arranging investigations, and briefing solicitors if further action is to be taken
  • Contribute towards the achievement of divisional annual action plans/budgets and operational objectives
  • Develop trusted relationships with brokers/intermediaries
  • Proactively managing claims to achieve best customer outcomes and prevent escalations
  • Work with key internal and external stakeholders, including underwriting and sales teams, brokers, panel lawyers, other service providers, regulators, claimants, and their representatives
  • Develop close relationships with underwriters and product specialists
  • Enhance and develop your own technical expertise and participate in professional development and training
  • Deliver the highest quality customer service and develop strong working relationships with all customers and service providers
About You
  • 1-2 years of third-party liability claims experience (personal injury and public liability) with a genuine interest in managing liability claims across the South Australia and Western Australia jurisdictions
  • Sound technical understanding and ability to manage a diversified portfolio of bodily injury, property damage, and product liability claims
  • Understanding of underwriting procedures for a diversified liability portfolio and a proven ability to understand and interpret relevant policy wordings
  • Ability to engage, instruct, and work with relevant providers, including loss adjusters, lawyers, and consultants
  • An understanding of, and demonstrable application of, the General Insurance Code of Practice
  • Legal qualifications will be advantageous but not a mandatory requirement
  • Ability to collaborate effectively and build and maintain strong client/customer relationships
  • Good problem-solving skills - ability to interpret technical/investigation reports to make sound business decisions
  • Ability to participate in alternative dispute resolution

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