Claims Executive

Company:Marsh

Description:

We are seeking a talented individual to join our Risksmart Claims Team at Marsh Australia. This role will be based in Sydney office. This is a hybrid role that has a requirement of working at least three days a week in the office.

As a Claims Executive in the Risksmart Claims Team, you are responsible for proactively managing a varied portfolio of strata and homeowner claims. There will also be some exposure to other lines of business such as healthcare and liability claims. You will oversee the entire claims process, delivering exceptional service, thoroughly evaluating claims to determine policy coverage, and skillfully negotiating favorable outcomes for insurer clients.

We will count on you to:

• Collaborating and Partnering for Client Value:
  • Establish and maintain excellent working relationships with clients, repairers, assessors and other external stakeholders including insurers
  • Ensuring that client interests are protected in claims
  • Identifying and escalating suspicious or potentially fraudulent claims for internal review and investigation
  • Providing relevant information and feedback on claims and developing trends to underwriters/risk assessors
• Inspiring with Operational Excellence:
  • End to end management of insurance claims pursuant to GICOP requirements
  • Ensure compliance with relevant statutory guidelines and standards
  • Interpreting and making decisions on policy terms, conditions and exclusions up to Delegated Authority amounts
  • Escalating claims as needed and working with senior staff to strategically manage difficult and complex claims, with a view of securing best claim outcome
  • Respond to all enquiries within Risksmart service-level agreements in place (SLAs)
  • Liaising with internal and external stakeholders in an accurate, professional, and courteous manner
  • Ensure appropriate information flow to claims stakeholders, ensuring that clients are kept informed of relevant developments and that expectations are well managed both internally and externally.
  • Maintaining current knowledge of insurance guidelines, court/AFCA decisions impacting claims functions, and policy changes and modifications
• Satisfying and reaching with new technologies:
  • Maintain appropriate product, system and process knowledge
  • Attend relevant product and skill courses and passing on relevant points to other staff
  • Contribute towards the refinement of processes and procedures to improve systems and procedures
• Sharing Knowledge through Data and Analytics:
  • Provide regular status updates and relevant information/advice to clients in a timely and efficient matter
  • Liaising with insurers to ensure that claims are settled appropriately and in the most cost-effective manner
  • Contribute towards the delivery of claims and accurate claims data
  • Attending to regular reporting requirements and management of claims system in accordance with the GICOP and client service-level agreements in place (SLAs)

What you need to have:

• Ideally 1-2 years of experience in insurance
• Experience working to deadlines (including GICOP) and within SLA timeframes
• Broad knowledge of insurance industry and claims processes
• Excellent analytical skills
• Strong organisational skills
• Excellent written and verbal communication skills

What makes you stand out:

• Strong customer focus
• Advanced attention to detail
• Ability to build a strong rapport and working relationships with stakeholders
• Strong outcome focus
• Ability to juggle multiple tasks and keep within timeframes to meet customer needs and satisfaction

Why join our team:

• We help you be your best through professional development opportunities, interesting work and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

About MARSH:

Marsh, a business of Marsh McLennan (NYSE: MMC), is the world's top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow on LinkedIn and X. Marsh McLennan is committed to creating a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, or any other characteristic protected by applicable law. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person.
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