Claims Officer

2 weeks ago

Sydney, New South Wales, Australia Gow-Gates Insurance Brokers Full time

Position Title:
Claims Executive

Team:
Claims (Comserv)

Direct reports:
NA

Reports to:
Claims Team Manager

Qualifications/ - Minimum - 2 years of Insurance experience

Experience:

  • Tertiary qualifications in a businessrelated discipline
  • Experience negotiating favourable claims settlements for clients
  • Experience interpreting legislation and insurance policies
  • Experience identifying potential issues and escalating for review
  • Demonstrated experience in file reviews

Technical skills:
Technical Insurance Claims Skills

- claims processes and claims broking

  • Sound analytical and problemsolving skills
  • Literacy in technology and systems in current use in the Insurance
industry

Job Purpose:

  • End to end Claims Management supporting a portfolio of clients.
Receiving, recording and managing all incoming insurance claims for
clients.

  • Interpreting basic policy coverage and determining if coverages
  • Negotiating settlement outcomes within Insurers on behalf of the
clients.

  • Maintaining current knowledge of insurance guidelines, court
decisions impacting claims functions, and policy changes.

  • Liaising with multiple stakeholders and maintaining strong
relationships with Brokers, Insurers and Clients.

  • Maintaining accurate client files and data via the Claims
Management system.

Our Values:
Innovation - A fresh approach to risk

Trust - Putting people first

Excellence -Expertise without compromise

Behavioural Persuasiveness/Sales Ability

Competencies:
Developing and utilising suitable communication styles and techniques to

gain acceptance of an idea, plan, activity, service or product from prospects
and clients; demonstrating knowledge of the sales process.

Negotiation
Effectively exploring alternatives and positions to reach outcomes that gain

1

all parties' support and acceptance. Presenting rational arguments, drawing
on reason and logic in making a case; demonstrating that a course of action
is of mutual benefit; focuses on the problem rather than the person in a
negotiation.

Client Relationship Management
Identifying potential for and developing new client relationships;
proactively identifying client
requirements; undertaking actions which
meet and/or exceed client expectations; using communication styles and
methods to ensure understanding and enduring client satisfaction.

Building Business Relationships
Using interpersonal communication styles and methods to maximise
partnerships with business associates (e.g. clients, suppliers, agents as well
as other staff) to meet mutual business aims and objectives.

Communicating Ideas and Information
Clearly expressing ideas both on a one-to-one basis and in group situations
(including non-verbal communication); expressing ideas effectively in
written format that contain correct and appropriate syntax, grammar,
language and terminology; adjusting language to suit the requirements of
the recipients.

Developing Performance
Developing the performance, competency and qualifications of team
members by planning effective professional development activities related
to current and future job requirements.

Teamwork/Team Membership
Demonstrating the ability to work effectively in a team/work group or
those outside the formal line of authority (e.g. peers, senior managers),
not as a team leader but as a valued member who assists in building
morale and makes extra effort to help the team reach organisational
goals; taking actions that respect the needs and contributions of others;
contributing to, accepting and promoting the consensus; subordinating
own objectives to the objectives of the organisation or team.

Team Development
Using appropriate communication styles and techniques to develop esprit
de corps and intra-team co-operation; managing disputes and conflict to
the best possible solution; demonstrating awareness of the needs and the
contributions of team members.

Influencing
Using communication and interpersonal styles and methods to inspire
and guide individuals (subordinates, colleagues and superiors) toward
improved goal achievement; modifying behaviours to accommodate
tasks, situations, and individuals involved; influencing factors outside line
control to achieve goals.

Delegation
Allocating task responsibilities and decision-making authority to
appropriate team members, optimising their time, skills and potential for
success.

Quality Orientation/Thoroughness
Showing concern for completeness and accuracy around tasks,
information and project management. Accomplishing tasks with concern

2

for all areas involved, no matter how small; maintaining watchfulness
over a period of time. Discovering weaknesses or missing data and acting
to correct.

Keeping track of many details without forgetting items***3

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