Specialist, Claims Operations

QBE Insurance Group • Atlanta, GA

12d • Hybrid

About The Position

The role supports the day-to-day operational execution of A&H Claims by managing workflows, coordinating with internal and external partners, and driving consistency across intake, reporting, and process execution. The focus is on improving efficiency, data quality, and overall claims operations performance.

Requirements

• 1–3 years of experience in a professional, administrative, or operational support role
• Strong organizational skills with the ability to manage multiple tasks and follow through on details
• Experience working with data, reports, or tracking workflows in a structured environment
• Bachelor’s degree or equivalent combination of education and relevant work experience
• Strong organizational, communication, and follow-up skills
• Proficiency in Microsoft Office (Excel, Outlook, Teams) and comfort working with data and reports
• Ability to manage multiple tasks, prioritize work, and meet deadlines in a fast-paced environment

Nice To Haves

• Experience in medical stop loss insurance, claims, or a related industry
• Experience working with external partners, vendors, or shared service teams
• Familiarity with claims systems, reporting tools, or operational processes

Responsibilities

• Support day-to-day claims operations by tracking workflows, following up on outstanding items, and ensuring workflows are progressing as expected
• Coordinate with internal teams and external partners to gather claim information and assist with issue resolution
• Help manage intake and backlog by organizing incoming work and routing items appropriately
• Review reports and data for completeness, flagging any missing or inconsistent information
• Assist with maintaining accurate records to support reporting and audit readiness
• Escalate issues or delays and support follow-through to resolution
• Support process improvements by identifying efficiencies and assisting with implementation of standardized workflows
• Provide general operational support to the Claims team as needed

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree