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Principle, Claims Consultant
3 months ago
At MLC Life Insurance, we're proud of our history of protecting Australians for over 135 years. We provide flexible, affordable, and innovative insurance products to almost 1 million Australians.
We're Australian-led and managed, and part of a global network through our partnership with one of the world's leading life insurers, Nippon Life Insurance Group.
We're driven by a powerful purpose, providing our customers and their families with a Promise for Life to be there when they need us most - and that's a great purpose to bring us together at work every day.
We work hard to deliver a total customer experience that keeps our customers and partners at the forefront of all our decisions.
The Role
As we continue to strengthen our Claims function, we are establishing a new Technical Claims function to provide in-depth technical expertise.
The Technical Claims function will manage complex claims across Income Protection and Long-Term Claims providing deep expertise to some of the most challenging claims.
A key member of this new team is the role Principle Claims Consultant, ideally based in Melbourne or Sydney.
In this exciting new role, your main responsibility is to provide technical expertise and coaching to a team of specialised Case Management professionals providing oversight and guidance on the management of complex claims.
Using your technical experience, you will assist with the identification of complex claims requiring clarification and investigation due to conflicts in claim duration, inconsistencies or inaccuracies in evidence requiring an in-depth review and case management process.
- Provide oversight and manage a complex portfolio of Income Protection Claims to ensure the customer experience is aligned to our claim's philosophy.
- Build rapport with customers over the phone by maintaining regular contact, identifying appropriate added support services and liaising with the Recovery Specialists to support customers achieve their goals and return to health. (where appropriate).
- Assess claims against policy terms and explain complex decisions with logical and clear rationale and description of why evidence has been weighted over other evidence.
- Instruct third parties to provide claim assessment support as appropriate to the claim situation and use claim providers in line with an appropriate cost benefit analysis.
- Manage workload and volumes and costs in line with SLAs.
- Maintain strong stakeholder relationships to maintain a high performance culture.
About you
- 15+ years insurance claims experience, including knowledge of legislation and regulations affecting the life insurance industry (essential)
- Cert IV Life Insurance Accreditation (essential)
- Australian Insurance Institute (desirable)
- Tertiary qualifications (desirable)
- Customerservice orientation (essential)
- We do work that makes a genuine difference to our customers, partners and community.
- We have a supportive, inclusive and flexible team culture, including hybrid working.
- We support your growth and development, and careers across our business units and teams that are as unique as our people.
- We reward and celebrate our successes, through our incentive and recognition programs.
- We offer tools, resources and benefits to support your wellbeing, including additional lifestyle leave and our Family Life hub.
- We connect and celebrate our diversity at work through our social committees and employee groups, and we contribute to our community with paid volunteer leave and through our sustainability commitments.
Primary Location:
AU-NSW-North Sydney
Work Locations:
Level 5, 177 Pacific Hwy Level 5 177 Pacific Hwy North Sydney 2060
Job:
Customer
Organization:
MLC Limited
Schedule:
Permanent
Employee Status:
Group Level 3
Full-time
:
Job Posting:
09-May-2024, 12:
50:
48 AM
