Insurance Claims Manager
4 months ago
Insurance Claims Manager
**Be inspired everyday - let your work make a difference**
**#Superwithimpact**
More than one million Australians trust HESTA with their money. HESTA is a top-performing industry super fund working for real-world impact. We use our expertise and influence to deliver strong long-term returns while accelerating our contribution to a more sustainable world.
HESTA is also an inspiring and rewarding place to work. That's because what we do makes a difference to the lives of our members. The people who work at HESTA are not only exceptional at what they do, they're focused on living and creating a strong organisational culture. We're an industry super fund dedicated to the people who keep our communities going. People who provide some of the best health, education and community services in the world are HESTA members - and we are proud to serve them.
**The opportunity - 'Do what you love, and you'll never work a day in your life' #careerswithimpact**
**Lead and Innovate as our Insurance Claims Manager at HESTA**
Are you ready to lead and innovate in the world of insurance claims? HESTA is seeking a skilled Insurance Claims Manager to drive excellence in managing superannuation death, terminal illness, permanent incapacity (TPD), and income protection claims.
**What You'll Do**:
- **Lead the Claims Process**:Oversee the end-to-end claims journeys, including those performed by Service Providers, including insurer and administrator -notification, assessment, investigation, decision-making, and payment. Monitor adherence across services to HESTA policies, frameworks, processes, business rules and contracts and ensure seamless collaboration with third-party partners to deliver optimal servicing outcomes.
- **Team Leadership**:Mentor and guide a team of claims professionals. Foster their growth through ongoing development and support through complex matters. Introduce and maintain ways of working frameworks..
- **Enhance Member Service**:Monitor and improve claims service quality provided by HESTA and its third-party partners (insurer(s) and administrator(s)). Develop and implement optimisation initiatives to enhance member satisfaction and where required develop and lead remedial activities to address any issues.
- **Optimize Processes**:Analyze performance data and trends to recommend and implement process improvements. Work closely with internal stakeholders to refine claims processes and enhance operational efficiency.
- **Regulatory Compliance**:Work with both internal and external stakeholders to ensure operational controls are in place and robust to allow the Trustee to meet its obligations. Oversee the accuracy of disclosures, including APRA annual reporting and Product Disclosure Statements. Ensure compliance with superannuation and insurance legislation.
- **Strategic Oversight**:Manage the panel tasked with reviewing any claims declined by the insurer(s), oversee business rules and claims correspondence, and contribute to risk management and executive reporting.
**What We're Looking For**:
- **Qualifications**:Tertiary qualification in business, finance, or a relevant field. RG 146 compliance required.
- **Experience**:Minimum 3 years of leadership experience in insurance claims management. Deep understanding of superannuation and insurance legislation, industry standards, and claims processes.
- **Skills**:Proven ability to lead teams, manage third-party relationships, and drive process improvements. Strong analytical skills and experience with regulatory compliance.
**Why HESTA?**
- **Impact**:Your work will directly influence member and beneficiary outcomes.
- **Growth**:Opportunities for professional development and career advancement.
- **Culture**:A supportive, collaborative environment where innovation is encouraged.
Join HESTA and play a pivotal role in shaping the future of insurance claims management.
**Benefits that matter and make a difference for our employees**
- Leave for those moments that matter, an additional 6 days of leave at the end of year, up to 6 days paid volunteer leave, gender neutral paid parental leave of 20 weeks, Gender Affirmation leave, reproductive health and wellbeing leave, Cultural and Ceremonial leave. Access your LSL after 3 years, take AL at half pay, and purchase up to 2 weeks additional leave (just to name a few).
- Your Professional development matters, up to $5k per year professional development and up to 8 days professional development leave, HESTA scholarships and free access to a range of premium learning tools.
- Your health and wellbeing matters, free annual flu shots and skin checks, incredible social events throughout the year and a comprehensive employee assistance program available 24/7.
- Your financial wellbeing matters, 15% super, financial planning support, end of year payment for all Enterprise Agreement-covered employees, incentivised Employee Referral Program and novated lease options.
Please note: Applications
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