Consultant providing training and advice for A&H risk management at QBE. Leading risk assessments and engaging in clinical evaluations for large claims with multiple US location options.
Responsibilities
Provide consultancy advice and training to enhance knowledge of the valuation industry and property market trends across Service Delivery and Risk business units
Lead risk assessments for Accident and Health (A&H) by evaluating risks, monitoring regulatory changes, and driving continuous improvement
Perform new business and renewal large claims reviews and disclosure assessments through clinical and claims data evaluation
Provide concise, detailed, and accurate reporting of data analysis findings, observations, and recommendations
Serve as the subject matter expert for claims and underwriting related to risk management
Provide clinical assessment and recommendations for setting reserves on large dollar claims
Present in-house clinical education to enhance understanding of high-cost diagnoses and treatment trends
Responsible for clinical thought leadership, participating in product development and educational presentations
Consult with internal and external clients on high-cost, complex claims and engage in effective clinical risk management strategies
Review transplant contracts and vendor selections for quality control to ensure the best options
Build relationships with key stakeholders to communicate risk factors and develop recommendations for continuous improvement
Requirements
Tertiary Degree or equivalent combination of education and work experience
Certifications as a Registered Nurse (RN)
Benefits
Hybrid Working – a mix of working from home and in the office
22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
Competitive 401(k) program with company match up to 8%
Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
Tuition Reimbursement for professional certifications, and continuing education
Employee Network and Community – QBE actively supports six Employee Networks, and many ways to give back to your community
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