Insurance Claims Specialist

1 week ago

Melbourne, Victoria, Australia AustralianSuper Full time
At AustralianSuper, we truly care about our colleagues. We know work and life are intertwined.

That's why we support the diverse needs of everyone and have policies that enable us all to thrive and be truly flexible.

We ensure diversity is celebrated for the opportunity it provides us all to learn and grow and deliver better outcomes for members.


Your new role


Reporting to the Senior Manager, Insurance Claims, the Insurance Claims Specialist will ensure that outsourced serviceproviders meet theirperformance obligations under their respective contract and service level agreement - in accordance with the Fund'sThird-Party Management Framework, Quality Framework, Policies and Standards.

Some key responsibilities but not limited to;

  • Support the operational oversight of insurance claimsmanaged by our Administrator and Insurer and represent the Insurance Claimsteam as a key contactfor internal and external stakeholders to liaise with on insurance claims matters
  • Lead the review of the operational claims reporting providedby the Fund's Administrator and Insurers to ensure it provides valid, reliable, and consistent quantitative and qualitative insights
  • Recommend, raise, agree to, and monitoraction plans with the Administrator and Insurer to ensure compliance with claims management agreements/practices
  • Use data and work with stakeholders to identify risks,issues, and opportunities, and present this information in a concise, meaningful way to strive for best practice claims management
  • Report and resolve insurance related breaches and incidents, including any preventative actions to assist with managing risk
  • Maintain reportingschedule for reportingto various internalcommittees and management groups
  • Support the review of insurance claimsprocesses to identify, communicate and assistto implement, opportunities for improvements, includingany communication or business rule changes
  • Maintain and develop relateddocumentation, processes, protocols, and procedures for consistent oversight and reporting

What you'll need

  • 5 years+relevant experience in a similarrole (with an administrator or in superannuation insurance, preferably group claims)
  • Excellent written and oral communication skills, including the ability to proofread
  • RG146 accreditation desirable
  • Excellent organisational and prioritisation skills with the ability to work autonomously
  • Meticulous attention to detail and drive to deliver excellent outcomes

Life at AustralianSuper


AustralianSuper is committed to colleague development, and we support our people with ongoing learning, coaching, and training, as well as career opportunities across our expanding global organisation.

We offer generous leave entitlements and promote a blended working environment in which all roles can flex, and we're happy to discuss what this looks like for you.


We are committed to supporting our diverse workforce in a way that is inclusive and embraces diversity in all its forms.

If you require any reasonable adjustments to the recruitment process or the role, please let our recruitment team know.

What's next
Australian or New Zealand citizenship or Australian permanent residency status is required.

**_Progress powered by purpose._

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