Claims Advisor

2 weeks ago

Sydney, Australia Marsh Full time

**Claims Adviser**

**What can you expect?**

Your role is to provide a high level of claims management services to clients and brokers through consulting, advisory, advocacy and negotiation. Applies well developed technical expertise, account management and business development capabilities to achieve agreed business objectives. Mentor to colleagues.

**What is in it for you?**
- Leading training and development program
- Professional environment where your career path really matters and is supported in our global organization
- Work in a highly regarded team with energetic and supportive colleagues
- Genuine work life balance

**We will count on you to**:
**Account Management**
- In conjunction with the Claims Manager, drives the contract negotiation process for existing and new clients, agreeing service standards and documenting via the client service agreement;
- Manages the client relationship, identifies expectation, resolves servicing issues, is an escalation point for difficulties;
- Prepares routine and ad hoc reports; Presents quarterly and/or annual reviews.
- Participate in peer review/ audit process.
- Participate in projects related to continuous improvement and efficiency of the Claims Team

**New and Expanded Business**
- Supports new and expanded business endeavours through provision of claims review data for tenders, renewals and proposals, and participates in client/prospect meeting;
- Active involvement in new business prospecting for under-deductible accounts including proposal submission;
- Conducts marketing and client/broker education presentations;
- Builds and maintains network to keep abreast of industry changes, competitor movements and new and expanded business opportunities;
- Maintains awareness of offerings of other divisions, supports the business’s cross-selling endeavours and makes referrals as appropriate.

**Claims Advisory**
- Drives the settlement negotiation process and negotiates on behalf of client;
- Acts as advocate for the client and determines commercial/technical responses to insurer’s denials of liability;
- Manages external providers (inc legal panel) on behalf of client.

**Client and Broker Service**
- Meets service levels set out in Client Service Agreement;
- Responds to queries from clients and brokers;
- Prepares routine and ad hoc reports including claims trends analysis;
- Prepares quarterly and/or annual claims reviews;

**Claims Technical**
- Manages moderate to high complexity claims according to the Company’s processes and client agreements, liaising with the Major Claims Unit as required;
- Liaises with clients, insurers, claimants and external providers;
- Interprets policy wordings and provides recommendations to clients;
- Analyses claims history data
- Arranges/conducts investigations and interfaces with loss adjusters, client and site investigators as required;
- Determines claim settlement for under-deductible claims.

**What you need to have**:
**_ Professional Accreditation/Membership_**
- Tier 1;
- Senior Associate member of ANZIIF.

**_ Educational Requirements_**
- VCE or equivalent;
- Diploma Financial Services or Bachelor’s degree;
- Undertake Company-directed compliance training

**About Marsh**:

- At Marsh we recognise that our people have different priorities and commitments. We are passionate about providing an inclusive workplace that supports all of our employees in managing those priorities, and we celebrate the diversity of all the family groups that make up our extended Marsh family._

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