Title: Claims Officer Location: Australia time type: Full time job requisition id: 357485 Job Description: Worker Type: Employee Open to all QBE office locations nationally Permanent & fixed term contract positions, full-time hours The opportunity We are looking for experienced Claims Officer's to join our catastrophe claims team, managing end-to-end property claims from major events like hail, cyclones, storms, floods, and bushfires. This hybrid role offers the chance to work autonomously while being part of a fast-paced, supportive team that values resilience, trust, and a strong work ethic. About QBE At QBE, we get to the heart of what matters for our customers. And we do it all with a human touch. We're an international insurer with more than 13,000 people working across 26 countries - which means we're big enough for your ambitions, yet small enough for you to make a real impact. It's an exciting time. We're building momentum towards our vision to become the most consistent and innovative risk partner. What if you could have a positive impact - at work and in the world? As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. Your new role - Manage end-to-end catastrophe claims across events such as hail, cyclones, storms, floods, and bushfires. - Apply case management expertise to assess, process, and resolve claims efficiently and empathetically. - Handle property claims with accuracy and compliance, ensuring timely and fair outcomes for customers impacted by catastrophic events. - Operate independently in a hybrid environment while contributing to a high-performing, collaborative team. - Demonstrate resilience and sound judgement in a fast-paced, high-pressure setting. - Uphold behavioural standards and foster trust through clear communication and ethical decision-making. About you - Proven experience in claims or case management within insurance or similar environments - Demonstrated portfolio management experience, managing multiple claims or clients concurrently. - Confident engaging with a wide range of stakeholders, with strong communication and relationship management skills. - Proven ability to navigate competing priorities, resolve conflict, and make sound decisions in a fast-paced environment. - High attention to detail with a strong focus on quality and compliance. - Customer-focused mindset with experience in roles involving multiple touchpoints and service delivery. Benefits We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to and benefit from: - 'Hybrid Working' - a mix of working from home and in the office to enhance your work/life balance - Free holistic wellbeing coaching, nutritional, confidential counselling, financial and legal advice - 18 weeks' gender-equal flexible leave for all new parents, including paid super Your career. At the heart of it. QBE recognises the value of diverse perspectives and experience. We are committed to an inclusive workplace where everyone feels valued and respected for who they are. Skills: Case Management, Claims Settlement, Collaboration Tools, Communication, Critical Thinking, Customer Service, Data Privacy, Detail-Oriented, Insurance Policies, Intentional collaboration, Managing performance, Prioritization, Problem Solving, Risk Assessments, Standards Compliance Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

• Communicating directly and following up with insureds to perform loss adjustments, pre-acceptance or quality control inspections to gather facts involved with the settlement of reported claims or inspections • Fostering and maintaining positive customer relationships by providing prompt and accurate support throughout the claims process • Staying abreast of crop insurance industry procedures relating to proper adjustment of claims • Analyzing and making recommendations for enhancements for company software products to assure compliance with company and RMA procedures

Role Description NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for: - Processing of Professional claim forms files by provider - Reviewing the policies and benefits - Comply with company regulations regarding HIPAA, confidentiality, and PHI - Abide with the timelines to complete compliance training of NTT Data/Client - Work independently to research, review and act on the claims - Prioritize work and adjudicate claims as per turnaround time/SLAs - Ensure claims are adjudicated as per clients defined workflows, guidelines - Sustaining and meeting the client productivity/quality targets to avoid penalties - Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA - Timely response and resolution of claims received via emails as priority work - Correctly calculate claims payable amount using applicable methodology/fee schedule Qualifications - 1-3 year(s) hands-on experience in Healthcare Claims Processing - 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools - High school diploma or GED - Previously performing - in P&Q work environment; work from queue; remotely - Key board skills and computer familiarity - Toggling back and forth between screens - Working knowledge of MS office products - Outlook, MS Word and MS-Excel - Must be able to work 7am - 4 pm CST online/remote (training is required on-camera) - Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities - Time management with the ability to cope in a complex, changing environment - Ability to communicate (oral/written) effectively in a professional office setting Preferred Skills & Experiences - Amisys Preferred Company Description NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future.

Role Description This role is responsible for adjudicating and processing supplemental insurance claims from intake through final payment. The position focuses on gathering and analyzing claim information, verifying eligibility, making accurate benefit decisions, and ensuring timely, precise payments. You’ll manage each claim end-to-end while delivering responsive, compassionate service to claimants, policyholders, and partners. The role also contributes to continuous improvement by bringing forward customer insights, identifying process gaps, and collaborating with teammates to enhance the overall claims experience. Key Responsibilities - Manage claim intake, review, and communication across both digital and paper channels. - Verify eligibility, analyze coverage details, and adjudicate supplemental insurance claims. - Complete the full payment process, including distribution, authorization, and lost-check resolution. - Apply claim management strategies to ensure accurate payments and appropriate financial outcomes. - Participate in continuous improvement efforts by identifying issues, sharing customer insights, and supporting workflow enhancements. Qualifications - High School Diploma or equivalent. - 2+ years of experience in supplemental claims processing. - Prior experience with medical billing or CPT coding. - Strong ability to analyze information, interpret policy provisions, and make accurate claim decisions. - Proficiency with Microsoft Office applications (Word, Outlook, Excel, PowerPoint). - Experience collaborating with employers, brokers, TPAs, and other external partners. - Familiarity with continuous improvement practices or customer-experience-focused workflows. Key Behaviors of a Successful Candidate - Adaptability: Adjusts quickly to changing priorities and embraces new ways of working. - Improvement Mindset: Seeks opportunities to streamline processes and enhance the customer experience. - Driving Success: Takes initiative, pursues goals with persistence, and remains resilient when challenges arise. Benefits - A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions. - An annual incentive bonus plan. - Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually — PTO increases with tenure. - A supportive, responsive management approach and opportunities for career growth and advancement. - Paid parental leave and adoption/surrogacy assistance. - An employee giving program that double matches your donations to eligible nonprofits and schools. Salary Range 21.63 - 29.45