Claims Data and Factual Analyst

3 weeks ago

Docklands, Australia MLC Life Insurance Full time

Are you committed to bringing your best to life every day?

At MLC Life Insurance, we’re proud of our history of protecting Australians for over 135 years. We provide flexible, affordable, and innovative insurance products to almost 1 million Australians. We’re Australian-led and managed, and part of a global network through our partnership with one of the world’s leading life insurers, Nippon Life Insurance Group.

We’re driven by a powerful purpose, providing our customers and their families with a Promise for Life to be there when they need us most - and that’s a great purpose to bring us together at work every day.

We work hard to deliver a total customer experience that keeps our customers and partners at the forefront of all our decisions. We’re a values-driven business that strives for high performance and growth as we look towards the future.

**The Role**

As we continue to strengthen our Claims function, we are establishing a new Claims Investigations & Support Services team to analyse, triage and support the claims team on matters of Non-Disclosure, Pre-Existing Conditions, Fraud, and financial matters.

We are looking for a Data & Factual Analyst to join us in this newly created role, ideally based in Melbourne.

Your key responsibility will be to investigate and analyse life insurance claims that have been identified as carrying a potential financial risk to our business. You will also focus on upskilling our Case Consultants with forensic and fraud associated skills.

Your responsibilities will include:

- Investigate and gather evidence in relation to complex claim files based on potential or identified fraud or exaggerated claims.
- Ensure that Individual portfolio of claims are thoroughly investigated and documented in a timely fashion.
- Coach and develop others through providing advice and guidance to team colleagues on complex technical claims issues.
- Support relevant stakeholders in claims involving AFCA or litigation, including drafting of written responses.
- Act as a point of reference for technical queries including assistance with documentation of guidelines and procedures.

**A**bout you**
- Minimum 2 years' experience in insurance claims (personal injury or life)
- Demonstrated understanding of Life Insurance Industry
- Demonstrated understanding of Life Insurance Claims Regulations and Obligations
- Demonstrated high attention to detail, analytical thinking and decision making
- Experience working in a highly collaborative environment (desirable)
- Medical Terminology certificate and/or similar medical qualification (desirable)
- Tertiary qualifications in relevant field (desirable)

Bringing our best to life - why join us?
- We do work that makes a genuine difference to our customers, partners and community.
- We have a supportive, inclusive and flexible team culture, including hybrid working.
- We support your growth and development, and careers across our business units and teams that are as unique as our people.
- We reward and celebrate our successes, through our incentive and recognition programs.
- We offer tools, resources and benefits to support your wellbeing, including additional lifestyle leave and our Family Life hub.
- We connect and celebrate our diversity at work through our social committees and employee groups, and we contribute to our community with paid volunteer leave and through our sustainability commitments.

**Primary Location**: AU-VIC-Docklands

**Work Locations**: Level 16, 727 Collins St Level 16 727 Collins St Docklands 3008

**Job**: Customer

**Organization**: MLC Limited

**Schedule**: Permanent

**Employee Status**: Group Level 2

Full-time

:
**Job Posting**: 07-May-2024, 9:14:28 PM

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