Claims Quality Review Specialist

3 weeks ago


Dublin, Dublin City, Ireland Berkshire Hathaway Specialty Insurance Full time

Job Opportunity:

 

Berkshire Hathaway Specialty Insurance (BHSI) is seeking a Claims Quality Review Specialist to join the Global Claims Quality Assurance.

This role can be based in any one of our main European locations, including London, Cologne, Paris, Madrid or Dublin.

This position entails regular communication and collaboration with multiple internal stakeholders. The successful candidate values building positive relationships while helping to ensure the high claims handling standards expected at BHSI globally.

Duties & Responsibilities:

The essential job functions of the Claims Quality Review Specialist include the following:

Responsibility for reviewing and evaluating closed and open claim files in multiple regions and for multiple lines of business against the BHSI Claims Service Standards to ensure that company procedures are followed. This will include claims handled by TPA's on behalf of BHSI as well as claims handled by our internal claims staff. Choose, assign, and track completion of claim file reviews completed by internal stakeholders. Lead internal claim reviews which will entail pre-review data analysis, sample selection, claim reviews, and communication to relevant claims management. Conduct trend analysis and prepare specialized analytic reporting for multiple lines of business and regions, including accounts handled by TPA's. Develop continuous improvement recommendations and work with claims management to implement continuous improvement initiatives. May be called upon to support product development/enhancement and other projects as needed.

Qualifications, Skills and Experience:

3-5 years of experience handling claims for a commercial insurance carrier. Excellent interpersonal communication skills. Ability to thrive in a team environment and handle multiple tasks simultaneously. Ability to manage time effectively, set priorities and meet deadlines. Strong communication (verbal and written) and interpersonal skills. Must be service and risk-management oriented. A self-starter and able to work both autonomously and with a team. Intermediate to expert skills in working with MS Excel. Proficient in MS Word, Excel, and Power Point. Travel may be required and will vary depending on business needs and caseload. May be asked to perform other duties as required by management.

BHSI Offers:

A competitive package and exciting growth opportunities for career-oriented teammates A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates and our other stakeholders A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework

  • Dublin, Dublin City, Ireland BERKSHIRE HATHAWAY SPEC INS Full time

    A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway's insurance operations, we bring our solutions to market with our stellar brand name,...


  • Dublin, Dublin City, Ireland BERKSHIRE HATHAWAY SPEC INS Full time

    A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway's insurance operations, we bring our solutions to market with our stellar brand name,...


  • Dublin, Dublin City, Ireland FK International Full time

    The role of the Claims Quality Assurance Specialist at FK International is a vital one. As part of the General Insurance Industry, this position involves evaluating claims handling procedures to ensure they meet industry standards and regulatory requirements. This includes assessing performance, identifying gaps, and providing actionable insights to drive...


  • Dublin, Dublin City, Ireland Irish Life Group Services Limited Full time

    At Irish Life Group Services Limited, we are seeking a highly motivated and skilled Health Claims Specialist to join our team.Company OverviewIrish Life is one of Ireland's largest financial institutions with a presence across a range of financial services markets. We are proud of our culture of developing and supporting the growth and professional...


  • Dublin, Dublin City, Ireland Partner Reinsurance Company Full time

    At PartnerRe, we pride ourselves on being a financially stable and predictable business partner, supporting our clients with innovative solutions tailored to their needs. Our mission is to continue to deliver superior returns to our owner, provide rewarding opportunities for our people, and make a positive contribution to society.About This OpportunityWe are...


  • Dublin, Dublin City, Ireland Sedgwick Claims Management Services Ltd Full time

    Job OverviewSedgwick Claims Management Services Ltd is a leading global provider of technology-enabled risk, benefits and integrated business solutions.We are seeking a skilled Travel Claims Assessor to join our team. As a Travel Claims Assessor, you will play a key role in managing and assessing travel claims to ensure that a professional service is...


  • Dublin, Dublin City, Ireland Irish Life Group Services Limited Full time

    About the Role:We are seeking a motivated and driven individual to join our team as a Health Insurance Claims Specialist. In this role, you will be responsible for reviewing medical claims and assigning appropriate ICD-10 codes in line with coding requirements.You will work closely with our clinical coding team to ensure technical accuracy of coding...


  • Dublin, Dublin City, Ireland Ryanair Ltd. Full time

    Ryanair Ltd. is looking for a Senior Claims Specialist to join their team in Dublin, Ireland.This role involves managing a portfolio of personal injury litigation and related claims, as well as drafting and reviewing legal briefs and correspondence.The ideal candidate will have at least 5 years PQE in personal injury litigation and related claims and be able...


  • Dublin, Dublin City, Ireland Sedgwick Claims Management Services Ltd Full time

    Job DescriptionAt Sedgwick, we are committed to delivering exceptional service to our clients while maintaining the highest level of professionalism in all aspects of our business.The ideal candidate for this role will have a strong understanding of insurance products and policy wordings, as well as excellent analytical and numeracy skills.The successful...

  • Claims Specialist

    3 days ago


    Dublin, Dublin City, Ireland FBD Consulting, LLC Full time

    About the RoleFBD Consulting, LLC is seeking a Claims Specialist to join our team in claims handling. In this role, you will be responsible for managing a portfolio of liability claims from registration to settlement.As a Claims Specialist, you will ensure that all claim handling activities are carried out in a proactive, innovative, and compliant manner....


  • Dublin, Dublin City, Ireland Allianz Group Ireland Full time

    About Allianz Group Ireland, a trusted insurance partner to over 700,000 customers across Ireland, we pride ourselves on delivering fantastic customer experiences through innovative thinking, state-of-the-art technology, excellent training, and outstanding customer service. Our commitment to excellence and willingness to face new challenges are essential...


  • Dublin, Dublin City, Ireland TN Ireland Full time

    Job SummaryWe are seeking an experienced Senior Claims Specialist to join our team at TN Ireland. As a key member of our claims handling unit, you will be responsible for managing complex claims from initiation to resolution.About the RoleThis is an excellent opportunity for a seasoned claims professional to take on a challenging role that requires strong...

  • Claims Specialist

    2 weeks ago


    Dublin, Dublin City, Ireland Bank of Ireland Full time

    Claims Specialist - Income Protection Claims Dublin, Republic of Ireland | Hybrid Permanent | Full time Closing date: Jul 17, 2024


  • Dublin, Dublin City, Ireland Irish Life Group Services Limited Full time

    Job Description:Irish Life Group Services Limited is seeking a motivated and driven Health Claim Specialist to join their team.The Key Responsibilities of the Role Will IncludeReview medical claims and assign appropriate ICD-10 codes in line with coding requirements.Ensure technical accuracy of coding completed in line with ICD-10 and responsible for timely...


  • Dublin, Dublin City, Ireland Irish Life Group Services Limited Full time

    Opportunity SummaryWe are seeking a highly skilled International Classification of Diseases Specialist to join our team at Irish Life Group Services Limited.The successful candidate will be responsible for reviewing medical claims, assigning appropriate ICD-10 codes, and ensuring technical accuracy of coding completed in line with ICD-10.This is an exciting...

  • TPA Claims Handler

    1 week ago


    Dublin, Dublin City, Ireland Sedgwick Claims Management Services Ltd Full time

    Global Privacy PolicySedgwick's caring counts commitment is to value the right of privacy of the companies and individuals we serve. It is Sedgwick's policy to comply with all applicable privacy and data protection laws and maintain the trust of those we serve.We want to share with you our policy to what personal information we may collect, how we may use...


  • Dublin, Dublin City, Ireland Zurich Insurance Full time

    Zurich Insurance Europe, AG is seeking a dedicated Property Claims Resolution Specialist to join its Claims Team in Wexford. This role involves managing a portfolio of property damage claims and providing excellent customer service to claimants.ResponsibilitiesEstablish timely and accurate reserves, performing ongoing reviews throughout the claims...


  • Dublin, Dublin City, Ireland Irish Life Group Services Limited Full time

    Company: Irish Life Group Services LimitedFull Time Permanent positionHybrid role based in our City Centre officesWhat we offerWe have embraced a hybrid working model for most of our positions, which means that you can enjoy a balanced approach of working from home for part of the week and working from the office for the remainder of the week.We offer a...


  • Dublin, Dublin City, Ireland Irish Life Group Services Limited Full time

    Company: Irish Life Group Services LimitedFull Time Permanent positionHybrid role based in our City Centre officesWhat we offerWe have embraced a hybrid working model for most of our positions, which means that you can enjoy a balanced approach of working from home for part of the week and working from the office for the remainder of the week.We offer a...


  • Dublin, Dublin City, Ireland Irish Life Group Services Limited Full time

    About the RoleWe are seeking a highly skilled Clinical Coding Expert to join our team at Irish Life Group Services Limited.The successful candidate will be responsible for reviewing medical claims and assigning appropriate ICD-10 codes in line with coding requirements.This is an exciting opportunity for a motivated and driven individual to work in a dynamic...