Claims Solutions and Capability Manager

Role Summary

In this role as Claims Solutions and Capability Manager you'll be responsible for Claims governance and technical strategy ensuring sustainable claims practices through audit and risk management, training, development, and coaching. This includes meeting service delivery and operational targets, identifying and championing process simplification and continuous improvement.

Primary (Key) Responsibilities

- Lead, develop and mentor a team of Claims Technical professionals, driving best-practice capabilities across the claims function to meet business objectives and professional standards.
- Review, develop and implement robust controls and oversight frameworks across Claims, Rehabilitation, and Forensic Accountancy functions, including audit methodology, annual training plans, and related systems, processes and guidelines.
- Oversee the ongoing review and enhancement of the Claims and Rehabilitation Philosophy to maximise performance, quality, and consistency across both paper-based and tele-claims management practices.
- Manage complex dispute resolution and litigation matters, ensuring effective engagement with internal stakeholders, reinsurers, and third-party suppliers throughout the claims lifecycle.
- Drive accuracy and consistency across client and intermediary claims documentation, ensuring customer and adviser materials (e.g. Adviser Guides, PDSs) are current and aligned with Claims and Rehabilitation standards.
- Manage third-party expense budgets and contract controls in line with regulatory and risk requirements, ensuring sound financial oversight and accountability.
- Provide expert technical advice on claims matters to internal business areas including Underwriting, Product and Pricing, Risk, and Compliance.
- Proactively manage risk by adhering to policy and compliance requirements, performing required controls, following procedures, and escalating any issues or breaches as identified.
- Represent the organisation through participation in industry working groups and professional forums (e.g. CALI, ALUCA), contributing to technical thought leadership in Claims.

Qualifications Required

- Minimum 7 years Technical Leadership and Performance management experience within the Life Insurance or other related Industry (workers compensation, reinsurance)
- Technical Life Insurance claims/rehabilitation experience, demonstrated through peer and industry recognition of capabilities (desirable)
- Tertiary qualifications (Allied Health, Business, Accounting, Law) (Preferred) - ANZIIF Cert 4 or equivalent in Life Insurance experience/training

Why Us? Our benefits

ClearView is an ASX-listed Australian life insurance business. For over a decade we’ve served our customers with a clear vision: to help Australians and their families achieve peace of mind about their future while being a positive force for our people, partners, customers and community.

Our flat structure offers an innovative culture, where ideas are welcomed, and results are recognised. Join us and you will be joining a group of likeminded, passionate people who turn up every day to share, help and be better than yesterday…together

Values: Integrity, Collaboration, Authenticity, Persistence

Some Of Our Benefits Include

- Workplace flexibility - We have a hybrid working model, giving you the opportunity to work from home 2 days per week. This gives you the support you need to help balance your career with the things you love, such as family, health and doing the things you enjoy.
- Employee Referral Program - successfully refer a friend and receive $1,000
- Extended Parental Leave - 16 weeks paid Parental leave cover
- Additional Leave - We offer up to another full week of paid leave
- Volunteer Day - 2 days of paid leave to volunteer in the community per year
- IPAC rewards - an extensive rewards program offering discounts and cash-back deals at over 350+ retailers
- LinkedIn Learning - Over 6,000 Courses and accreditations available to all staff, 24/7
- Reward & Recognition Program - Quarterly & Annual Awards celebrating employees and teams who are exceptional in living the ClearView values
- Staff Discounts - 27.5% discount on ClearView's life insurance product, ClearChoice
- Study Assistance - ClearView promotes learning and will provide financial assistance for approved learning and time off work to study and complete exams

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