Lead Medical Risk Consultant

QBE Insurance

Lead Medical Risk Consultant at QBE enhancing knowledge of valuation and property market trends. Conducting risk assessments for Accident and Health, driving improvements for A&H risk management objectives.

Posted 7/9/2026full-timeMarblehead • Massachusetts, Minnesota, Texas • 🇺🇸 United StatesSenior💰 $98,500 - $162,500 per yearWebsite

About the role

Key responsibilities & impact

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.
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

What you’ll need

Bachelor's Degree or equivalent combination of education and work experience
Certifications as a Registered Nurse (RN)

Benefits

Comp & perks

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

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Claims Data EvaluationRisk QuantificationReporting FindingsReserve SettingClinical Education

Soft Skills

Relationship BuildingEffective Communication

Certifications

Registered Nurse (RN)