Claims Specialist

2 months ago

Melbourne, Australia Chandler Macleod Full time

This role will report to the
**Manager, Claims Support Services** who is responsible for assisting the Senior Manager - Insurance Services, in the overall management of the insurance and claims function of the Fund. Working as a member of the team, this role is responsible for the handling of Death, Total and Permanent Disability (TPD), Terminal Illness (TI), Permanent Incapacity (PI), Terminal Medical Condition of Release (TMCR) enquiries. The role will also assist claimants/TPA’s with their understanding of the claims process, set the expectation of the process and service they should receive; manage the claim and be an escalation point where their claim does not go as planned or they need further assistance and to restore the claim onto an appropriate course.

**Accountabilities**:

- Central point of contact to assist the organizations’ s Coordinators, Front Counter, Advice and Complaints team and other member facing teams with their enquiries
- Handle enquiries end to end, within service standards, including any follow up with Administrator/Insurer and provide regular progress updates until resolved
- Manage claim escalations, including follow up with Administrator/Insurer and provide regular updates to the Member, until resolved
- Resolve enquiries within the organization’s operational processes, risk appetite, SIS/ATO regulations, Claims Handling and service standards
- Support Insurance Operations brand, by proactively interacting with Workplace Services, Advice and Complaints team
- Maintain detailed and quality claims documentation and interactions on workflow management system
- Maintain high standard of Quality Assurance results to demonstrate risk, processes, regulatory obligations, and compliance measures maintained
- Identify, prepare material, and facilitate focus sessions to assist Workplace Services in their interactions with members
- Attend Workplace Services meeting as required
- Participate in regulatory change and process improvement projects, as directed by the Insurance Leadership team
- Drive a culture of service excellence which focuses on positive claims experience
- Foster positive relationships with external stakeholders, Administrator, and Insurer
- This role may be required to undertake various other related tasks and/or projects as directed by the Manager, Claims Support Services from time to time.

**Key Selection Criteria**:

- Detailed understanding of superannuation regulators and the requirements of organizations complying to Superannuation Industry (Supervision) Act 1994 (Cth) (the ‘SIS’ Act)
- Problem solving capabilities to improve member experience
- Well-developed written and oral communication skills, including strong analytical skills
- Excellent attention to detail
- Demonstrated ability to build and maintain relationships with a variety of stakeholders
- Strong organizational skills including the ability to work under pressure and meet critical deadlines
- Ability to work independently and cooperatively and as a member of a team
- Advanced working knowledge of MS Word, MS Excel, Outlook
- Tertiary qualification in a business-related discipline would be an advantage.

  • Claims Specialist

    2 months ago

    Melbourne, Australia Safety People Full time

    Hybrid working conditions offered - 12 Month fixed term contract - Work for a leading food retailer Job Title: Claims Specialist (End to End Case Officer) Our client is seeking an experienced Claims Specialist to join their team on a 12-month fixed-term contract basis. As a "Floating" Claims Specialist, you will backfill portfolios when others are on leave...

  • Claims Specialist

    1 month ago

    Melbourne, Australia Newpath Recruitment Pty Ltd Full time

    Excellent salary package - Growth and progression opportunities - Excellent company culture We are currently working with an Australian owned brand with a national footprint that is continually growing. They have a current need for an in hour claims specialist to handle a broad range of general insurance claims. **THE ROLE** The Claims Officer...

  • Litigated Claims Specialist

    2 weeks ago

    Melbourne, Australia Kennedy Reid Full time

    Management of liability litigated claims in the motor space - Role can be based in Sydney, Melbourne or Brisbane - Career progression opportunities available and WFH flex following probation **The Role**: Our client is a national leader in the Motor insurance industry. They are seeking a Litigated Claims Specialist with a general insurance background to...

  • Claims Specialist

    2 months ago

    Melbourne, Australia Allianz Australia Full time

    **Claims Specialist - Client Partnerships, Workers Compensation** - Put the customer at the heart of everything you do - Feel empowered to make a positive impact - Allianz is a Flex Ready Employer & remote working options are available At Allianz, we care for all the things that make you, you. For feeling like you belong. For a place where learning never...

  • Claims Specialist

    1 month ago

    Melbourne, Australia Chandler Macleod Full time

    **Location** *** - Melbourne, Victoria**Category** *** - Accounting & Finance**Salary** - $120000 AUD - $130000 AUD Annual**Posted** - 08-Aug-2023**Work type** - Contract**Contact** - Vedangi More**Reference** - BH-149364On the hunt for a Claims Specialist (Trustee Reviews) for one of our financial services clients, you will be providing general financial...

  • Claims Specialist

    1 week ago

    Melbourne, Australia Chandler Macleod Full time

    **Location** *** - Melbourne, Victoria**Category** *** - Accounting & Finance**Salary** - $120000 AUD - $130000 AUD Annual**Posted** - 08-Aug-2023**Work type** - Contract**Contact** - Vedangi More**Reference** - BH-149364On the hunt for a Claims Specialist (Trustee Reviews) for one of our financial services clients, you will be providing general financial...

  • Claims Specialist, Liability

    3 days ago

    Melbourne City Centre, Australia Victorian Managed Insurance Authority Full time

    Claims Specialist - Ongoing Position - Flexible and hybrid working arrangements - Convenient Location in Melbourne CBD About us Victorian Managed Insurance Authority (VMIA) is the Victorian Government's insurer and risk adviser, covering the people and projects that help Victorians thrive. We're an agency in the Department of Treasury and Finance...

  • Claim Specialist

    5 days ago

    Melbourne, Australia Suncorp Group Full time

    **Join the Road to Success with Suncorp - Become a Motor Claim Specialist!** Are you a customer service rockstar with a passion for making a difference? Suncorp is on the lookout for exceptional individuals to join our dynamic Motor Lodgement team on a permanent full-time basis. Why choose Suncorp? As a Motor Claim Specialist at Suncorp, you will play a...

  • Claims Specialist

    3 days ago

    Melbourne, Australia Allianz Australia Full time

    **Claims Specialist -** **Recovery &** **Client Partnerships, Workers Compensation | Melbourne, VIC** - Please note this is a 6-month secondment/ fixed-term opportunity ending June 2024. At Allianz, we’re proud to be one of the world’s leading insurance and asset management brands, with a workforce as diverse as the world around us. We care about our...

  • Claims - Technical Specialist

    2 months ago

    Melbourne, Australia TAL Full time

    **Company Description** Welcome to This Australian Life. From the millions of Australians we protect, to those that make it happen every day at TAL, people really are what we’re all about. We want to grow with you. Achieve with you. And support you to do your best work. That's why we're focused on developing leadership, promoting diversity, rewarding...

  • Claims Specialist

    1 week ago

    Melbourne, Australia Allianz Australia Full time

    **Claims Specialist | Melbourne** At Allianz, we’re proud to be one of the world’s leading insurance and asset management brands, with a workforce as diverse as the world around us. We care about our customers, which is why we hire the very best people to further our commitment to securing the future of our customers, partners, and the community so...

  • Claims Specialist, Casualty

    3 weeks ago

    Melbourne, Australia AXA Group Full time

    Claims Specialist, Casualty (Brooklyn) Sydney / Melbourne – Australia With offices located throughout Australia, Brooklyn Underwriting is a highly accomplished underwriting operation that has been operating for over two decades and is the SME flagship of AXA XL, the market leading global insurer. Brooklyn’s insurance products are customised,...

  • Claims Specialist, Casualty

    1 week ago

    Melbourne, Australia AXA Group Full time

    Claims Specialist, Casualty (Brooklyn) Sydney / Melbourne – Australia With offices located throughout Australia, Brooklyn Underwriting is a highly accomplished underwriting operation that has been operating for over two decades and is the SME flagship of AXA XL, the market leading global insurer. Brooklyn’s insurance products are customised,...

  • Claims Specialist

    1 month ago

    Melbourne City Centre, Australia Victorian Managed Insurance Authority Full time

    Claims Specialist, Domestic Building Insurance Fixed Term 2 years contract. About VMIA Victorian Managed Insurance Authority (VMIA) is the Victorian Government's insurer and risk adviser, covering the people and projects that help Victorians thrive. We're an agency in the Department of Treasury and Finance portfolio, established under the Victorian Managed...

  • Senior Claims Specialist

    22 hours ago

    Melbourne, Australia Arnold Group Australia Full time

    Lead strategic case management and interventionsMentor and support case managers for operational excellenceFlexible hybrid working environment with comprehensive benefits The Senior Claims Specialist will see you managing complex cases to ensure the best recovery and return-to-work outcomes. This role utilises advanced claims, injury, and return-to-work...

  • Claims Specialist

    2 months ago

    Melbourne, Australia Allianz Australia Full time

    **CLAIMS SPECIALIST - WORKERS COMPENSATON I MELBOURNE, VIC** **Want to know how it feels to be genuinely supported to grow and develop your career?** At Allianz, we’re proud to be one of the world’s leading insurance and asset management brands, with a workforce as diverse as the world around us. We care about our customers, which is why we hire the...

  • Claims Specialist, Liability

    3 days ago

    Melbourne, Australia Victorian Managed Insurance Authority Full time

    Location: Melbourne | CBD Job type: Full time Organisation: Victorian Managed Insurance Authority **Salary**: Salary not specified Occupation: Insurance and Superannuation Reference: VG/VMIA/IS/1793897 Our Liability Claims Team is growing, and we have two unique opportunities for Claims Specialists to play a pivotal role in ensuring a positive and...

  • Liability Claims Specialist

    2 weeks ago

    Melbourne, Australia Insurance Australia Group Full time

    As a Liability Claims Specialist, you can have meaningful impact. Here’s how - Restore Faith - Give them cash when they need it most - Make their world a safer place Join the largest insurance group in Australia and New Zealand. We’re here for you. Are you ready? **YOUR ROLE** Reporting to the Lead Liability Claims, you’ll be responsible for case...

  • Liability Claims Specialist

    2 weeks ago

    Melbourne, Australia IAG New Zealand Full time

    As a Liability Claims Specialist, you can have meaningful impact. Here’s how - Restore Faith - Give them cash when they need it most - Make their world a safer place Join the largest insurance group in Australia and New Zealand. We’re here for you. Are you ready? **YOUR ROLE** Reporting to the Lead Liability Claims, you’ll be responsible for case...

  • Insurance Claims Specialist

    1 month ago

    Melbourne, Australia AustralianSuper Full time

    At AustralianSuper, we truly care about our colleagues. We know work and life are intertwined. That’s why we support the diverse needs of everyone and have policies that enable us all to thrive and be truly flexible. We ensure diversity is celebrated for the opportunity it provides us all to learn and grow and deliver better outcomes for members. **Your...