Case Consultant, Group TPD Claims

4 days ago

Sydney, New South Wales, Australia Acenda Full time
Overview

Join the Case Consultant, Group TPD Claims role at Acenda (formerly MLC Life Insurance). This is a permanent role with hybrid work options and a Melbourne or Sydney office location.

Responsibilities
  • Proactively manage a portfolio of claims to deliver timely outcomes for each customer
  • Consistently provide outstanding service to customers, their medical specialists and other authorized representatives
  • Actively engage and collaborate with internal and external stakeholders throughout the management of the claim, including case conferences, portfolio reviews, QA feedback and provision of support services to the claimant
  • Accurately interpret and apply policy wordings to determine eligibility and liability, considering all relevant disclosures
  • Accurately determine benefit entitlements (within delegated authority limits) throughout the duration of the claim
  • Proactively manage risk; meet policy and compliance requirements; perform controls; adhere to processes and procedures; and escalate issues as they are identified
About you
  • Has deep life insurance claims experience, including knowledge of legislation and regulations (desirable)
  • Has achieved a level of Delegated Authority reflecting consistently high performance (within MLC Life Insurance preferred)
  • Experience working in a highly collaborative environment (essential)
  • Knowledge of claims processes, policy definitions, and claims investigation techniques (desirable)
  • Knowledge of medical terminology (desirable)
  • Certificate IV in Life Insurance (desirable)
Why join us
  • We do work that makes a genuine difference to customers, partners and community
  • Supportive, inclusive and flexible team culture, including hybrid working
  • Growth and development opportunities across business units and teams
  • Incentive and recognition programs to reward successes
  • Tools and benefits to support wellbeing, including additional lifestyle leave
  • Commitment to diversity and belonging, with paid volunteer leave and sustainability commitments

We celebrate diversity and encourage applications from people of all backgrounds, cultures, experiences, and identities. If shortlisted, background checks (including Federal Police Checks, Employment checks, ASIC banned/disqualified persons and bankruptcy checks) may be completed prior to employment confirmation. Outcomes of checks are assessed against the position requirements.


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