Claims Executive

7 months ago

Sydney, Australia Marsh Full time

**Claims Executive**

**What can you expect?**

**Claims Executive** is responsible for providing delivery of superior claims service, determining proper policy coverage to conclude, investigate, evaluate, and negotiate assigned cases. Proactively manage a portfolio of Strata claims ensuring that quality customer service is provided.

**What is in it for you?**
- Leading training and development program
- Brand new agile workspace
- Hybrid work
- Professional environment where your career path really matters and is supported in our global organization
- Excellent career diversification opportunities
- Great team environment with energetic and supportive colleagues

**We will count on you to**:

- ** Collaborating and Partnering for Client Value**:

- Establish and maintain good working client relationships with claimants, repairers, assessors and other external stakeholders
- Identifying suspicious or potentially fraudulent claims, notifying supervisor, and arranging investigation
- Providing information and feedback on claims activity and developing trends to underwriters/risk assessors to enable appropriate actions to be carried out
- ** Inspiring with Operational Excellence**:

- Interpret policy coverage and determine if coverage applies to claims submitted, escalating issues as needed
- Ensure compliance with relevant statutory guidelines and standards
- Respond to all enquiries within Honan Service-level agreement (SLAs)
- Correspondence with internal and external stakeholders to be in an accurate, professional and courteous manner
- Maintaining current knowledge of insurance guidelines, court decisions impacting claims functions, and policy changes and modifications and recommending changes to Honan policies and procedures
- ** Satisfying and reaching with new technologies**:

- Maintain product, system and process knowledge
- Attend relevant product and skill courses and passing on relevant points to other staff
- Contribute to the refinement of processes and procedures to improve systems and procedures
- Education and training of key clients
- ** Sharing Knowledge through Data and Analytics**:

- Provide regular updates to clients on their claim and its progress in a timely and efficient matter
- Setting reserves and authorising payment within scope of authority, settling claims in the most cost-effective manner, and ensuring timely issuance of disbursements
- Recognising need for negotiation and participating in planning strategy and negotiating within scope of authority
- Assisting/preparing files for suit, trial or subrogation and submitting administrative reports as required

**What you need to have**:

- Broad knowledge of insurance industry and claims processes.
- Excellent analytical and negotiation skills.
- Strong organisational / Strong customer focus
- Excellent written and verbal communication skills / Advanced attention to detail skills
- Ability to juggle multiple tasks and keep within timeframes to meet customer needs and satisfaction.
- 1 - 2 years’ experience in insurance
- Experience working to deadlines and within SLA timeframes.
- Tertiary legal qualifications highly desirable

**About Marsh**:
**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 McLenna**n 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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