Claims Assessor

5 days ago

Melbourne, Australia Link Group Full time

**Overview
Provide a specialised claims assessment service to Insurers and Trustees of Superannuation Funds. This service covers Terminal Illness, Total and Permanent Disablement and Income Protection claims.

**Key Accountabilities and Main Responsibilities**
- Provide assessment service for a portfolio of claims on behalf of Tower in accordance with clearly defined assessment practices and procedures.
- Manage the initial and ongoing assessment of complex new and existing Terminal Illness, Total and Permanent Disablement and Income Protection claims within agreed service standards
- Undertake claim notification interviews as required
- Guide and support less experienced Claims assessors and Case Managers with the ongoing management of claim files.
- Instruct third party service providers (IME, Rehab, Functional, Vocational Assessments) and monitor the service provided
- Peer review cases of other team members as required
- Ensure claim remediation as directed by Tower or Senior Management are actioned in accordance within agreed timeframes.
- Undertake Facilitated Case discussion with TAL to ensure claims are being assessed in accordance with agreed contracted service standards
- Provide training to other assessors, trainee assessors and administration support staff as required or directed
- Research and keep up-to-date with current trends within the medico-legal sphere
- Ability to work autonomously
- Build relationships with clients, Insurers, external providers & trustee
- Plan and manage approved changes within nominated timeframes
- Maintain contracted duration based service standards - Income Protection Claims within 30 days of receipt and Total and Permanent Disablement within 3 mths of receipt
- Maintain service level standards of next day turnaround for BAU work items
- Deliver improved levels of customer service and contracted services by innovation and the use of best practice processes.
- Institute a focus on quality, innovation and continuous improvement
- Commitment to Link Group Vision and Values

**Experience & Personal Attributes**
- A minimum of 3 years retail/group claims assessment insurance experience including a high level of knowledge of product, medical, system and legislation/regulations impacting the life insurance industry.( Any reinsurance claims assessment experience will be looked upon favourably)
- Sound knowledge of Life insurance - Terminal Illness, Total and Permanent Disablement and Income Protection
- Strong Superannuation knowledge and experience
- Medical knowledge and understanding of legislative requirements
- Experience identifying key issues and escalating an assessment
- Experience interpreting legislation and insurance policies
- Sound analytical and problem solving skills
- Customer service focus & experience
- The ability to work as part of a team and contribute to team objectives
- Strong communication skills - verbal and written
- Strong attention to detail
- Sound knowledge of Microsoft office suite (Word, Excel, PowerPoint, Access)
- No specific qualifications required, however, a tertiary qualification is desirable preferably in business, insurance, finance, marketing, legal or financial planning

Link Group is a leading fund administration and share registry specialist. We are a market leading provider of technology-enabled administration solutions, continually developing our offerings to expand with our clients' needs. Since our inception, Link Group has been entrusted by clients to handle sensitive data in a secure and confidential manner. Our core businesses of fund administration and securities registration are complemented by our expertise in digital solutions and data analytics.

Our Retirement & Superannuation Solutions division combines its proprietary technology, process and people to deliver a comprehensive financial data solution to its superannuation clients. We support clients across all superannuation fund sectors including government, industry, retail and corporate.

By accompanying our core member and employer administration with a full range of value-added services, we offer the most comprehensive superannuation administration solution on the market. The scale, adaptability and ease of use of our proprietary systems, in conjunction with our integrated analytics offering, allow us to innovate and grow with the needs of our clients.

Link Group is building a dynamic, client focused, caring and inclusive culture that is built on the foundations of an entrepreneurial spirit, effective risk management, empathy and trust, and underpinned by its core values.

We are an inclusive employer whose people work collaboratively. We encourage, support and value the various talents and perspectives of our people and promote a flexible and blended work environment where our people can thrive and their wellbeing is supported. We know that diversity drives better client outcomes, continuous improvement, and growth. Be part of the Link Group journey and to

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