Claims Specialist (US)

Posted 19 Days Ago
Be an Early Applicant
West Chester, PA, USA
In-Office
Mid level
Digital Media • eCommerce • Retail
The Role
Manage workers' compensation, general liability, product, and cyber claims from intake to closure. Serve as primary contact for claim evaluation, mitigation, reserve calculation, settlement proposals, and reporting. Provide return-to-work administrative support, track claim metrics, partner with panel providers, and maintain claims databases ensuring compliance with laws, company policy, and insurance best practices.
Summary Generated by Built In

Working at QVC Group means joining a live social shopping company with incredible teams, ambitious projects and amazing careers. QVC Group, Inc. is a Fortune 500 company with six leading retail brands - QVC®, HSN®, Ballard Designs®, Frontgate®, Garnet Hill® and Grandin Road.

Your Opportunity, Your Team

  • Reporting to the Claims & Risk Management Lead - Treasury, you will provide full cycle support for claims. These claims include worker's compensation claims, general liability & product claims, and cyber claims. Additionally, you will engage with team members directly to provide service. You will process and document claims to ensure compliance with legislative provisions, company policies and insurance industry best practices. You will act in a fiduciary role on behalf of our large deductible, including consultation on the calculation and posting of claim case reserves and the negotiation and resolution of claims.

Where You'll Work

  • This role is hybrid and will require you to be onsite at West Chester, PA several days per month (onsite days are predetermined and standard across the company). Job seekers must reside in one of the following states to be considered: NJ, DE, PA. Relocation assistance is not available for this role.

What You'll Do

  • Manage workers' compensation claims, general liability claims, product claims and cyber claims from beginning to closure.
  • Be the primary contact for evaluating recommendations and decisions with regards to and claim mitigation and resolution.
  • End-to-end administrative support of return to work assignments for full and restricted returns for all U.S. QVC locations and panel providers
  • Track and comply necessary statistics for Management.
  • Evaluate and submit settlement authority proposals, and reserve increases and decreases.
  • Prepare reports detailing claim status, payments, reserves, and claim trends.

What You'll Bring

  • 3+ years leading end-to-end review of insurance claims.
  • 3+ years experience supporting worker's compensation and general liability claims.
  • 3+ years experience using claims service vendor systems or on-site database software to maintain continuity of claims history database.
  • 3+ years experience using customer portals, payroll and HR Resource Systems and team member data management.
  • 3+ years experience using knowledge of jurisdictional requirements and applicable case law for each claim and respective state.
  • 3+ years experience partnering with panel providers to evaluate claims.
  • Experience documenting claim review cycle preferred.

#LI-AC5

Our Total Rewards package includes benefits you’ll love such as competitive compensation, paid time off, an employee assistance program, parental leave, paid volunteer hours, and amazing company discounts! In our US market, you can also expect health care benefits starting on day 1, 401(k), and tuition reimbursement benefits.

QVC Group is committed to inclusion and belonging for all and ensuring that our workplace provides equal employment opportunities for all team members and candidates and complies with all applicable federal, state, and local laws and regulations. As an equal opportunity employer, QVC Group is committed to a barrier-free employment process. If you need reasonable accommodations/support throughout, please contact us at [email protected] for assistance.

If provided, salary ranges are a general guideline only, and actual salaries will vary and are based on factors such as a candidate's qualifications, skills, experience, and geographic location as well as business and market conditions.

Skills Required

  • 3+ years leading end-to-end review of insurance claims
  • 3+ years experience supporting workers' compensation and general liability claims
  • 3+ years experience using claims service vendor systems or on-site database software to maintain continuity of claims history database
  • 3+ years experience using customer portals, payroll and HR Resource Systems and team member data management
  • 3+ years experience with jurisdictional requirements and applicable case law for each claim and respective state
  • 3+ years experience partnering with panel providers to evaluate claims
  • Experience documenting claim review cycle
  • Reside in NJ, DE, or PA and be able to work hybrid onsite in West Chester, PA several days per month

QVC Group Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about QVC Group and has not been reviewed or approved by QVC Group.

  • Healthcare Strength Healthcare coverage is positioned as broad, including medical, dental, vision, prescription coverage, and company-paid life insurance and AD&D. Additional wellness supports like confidential counseling and condition-management programs are also part of the offering.
  • Flexible Benefits Flexible work arrangements such as remote work, flextime, and compressed schedules are available in parts of the organization. Spending-account options like HSA and FSA are included within the benefits mix.
  • Retirement Support Retirement support includes access to a 401(k) plan with company matching, and some sources also reference a pension plan. Performance bonuses are also described as available for some employees.

QVC Group Insights

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The Company
HQ: West Chester, PA
10,001 Employees
Year Founded: 1991

What We Do

Curated Experiences. Infinite Possibilities.® We believe in a Third Way to Shop® – beyond transactional ecommerce or traditional brick-and-mortar stores – for customers who crave engaging shopping experiences. We're a select group of diverse businesses that provide customers with curated collections of unique products, made personal and relevant by the power of storytelling. We combine the best of retail, media, and social to curate experiences, conversations, and communities for millions of highly discerning shoppers. We bring joy, inspiration, and humanity to shopping. We also curate large audiences, across our many platforms, for our thousands of brand vendors. Qurate Retail Group comprises seven leading retail brands – QVC®, HSN®, Zulily®, Ballard Designs®, Frontgate®, Garnet Hill®, and Grandin Road®. We reach approximately 218 million homes worldwide via 14 television networks and reach millions more via multiple streaming services, social pages, mobile apps, websites, print catalogs, and in-store destinations. We're a world leader in video commerce globally, among the top ecommerce retailers in North America (according to Digital Commerce 360), and a leader in mobile commerce and social commerce.

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