Lead Medical Risk Consultant
QBE Insurance
full-time
Posted on:
Location Type: Hybrid
Location: Marblehead • Massachusetts • Minnesota • United States
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Salary
💰 $98,500 - $162,500 per year
Job Level
About the role
- 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 to achieve A&H risk management objectives
- Perform new business and renewal large claims reviews and disclosure assessments through clinical and claims data evaluation to identify and quantify risks
- 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
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisrisk assessmentclinical assessmentclaims evaluationregulatory monitoringreportingcontinuous improvementvaluationunderwritingreserve setting
Soft Skills
consultancycommunicationrelationship buildingtrainingpresentationstakeholder engagementrecommendation developmentattention to detailproblem-solvingstrategic thinking
Certifications
Registered Nurse (RN)