Insurance Claims Manager

As a Claims Officer, you will be responsible for managing all aspects of insurance claims, from receiving and recording incoming claims to negotiating settlement outcomes with insurers on behalf of our clients.

Key responsibilities include:

• Receiving, recording, and managing all incoming insurance claims for clients.
• Interpreting basic policy coverage and determining if coverages apply.
• Negotiating settlement outcomes within insurers on behalf of the clients.
• Maintaining current knowledge of insurance guidelines, court decisions impacting claims functions, and policy changes.
• Liaising with multiple stakeholders and maintaining strong relationships with brokers, insurers, and clients.
• Maintaining accurate client files and data via the Claims Management system.

To succeed in this role, you will need:

• Minimum 1-2 years of insurance experience.
• Tertiary qualifications in a business-related discipline.
• Experience negotiating favourable claims settlements for clients.
• Experience interpreting legislation and insurance policies.
• Experience identifying potential issues and escalating for review.
• Demonstrated experience in file reviews.

You will also require technical skills including:

• Technical Insurance Claims Skills.
• Claims processes and claims broking.
• Sound analytical and problem-solving skills.
• Literacy in technology and systems in current use in the Insurance industry.

Our team values innovation, trust, and excellence. As a Claims Officer, you will have the opportunity to develop your skills and contribute to the success of our organisation.

Behavioural competencies required for this role include:

• Developing and utilising suitable communication styles and techniques to gain acceptance of an idea, plan, activity, service or product from prospects and clients; demonstrating knowledge of the sales process.
• Effectively exploring alternatives and positions to reach outcomes that gain all parties' support and acceptance. Presenting rational arguments, drawing on reason and logic in making a case; demonstrating that a course of action is of mutual benefit; focuses on the problem rather than the person in a negotiation.
• Identifying potential for and developing new client relationships; proactively identifying client requirements; undertaking actions which meet and/or exceed client expectations; using communication styles and methods to ensure understanding and enduring client satisfaction.
• Using interpersonal communication styles and methods to maximise partnerships with business associates (e.g. clients, suppliers, agents as well as other staff) to meet mutual business aims and objectives.
• Clearly expressing ideas both on a one-to-one basis and in group situations (including non-verbal communication); expressing ideas effectively in written format that contain correct and appropriate syntax, grammar, language and terminology; adjusting language to suit the requirements of the recipients.
• Developing the performance, competency and qualifications of team members by planning effective professional development activities related to current and future job requirements.
• Demonstrating the ability to work effectively in a team/work group or those outside the formal line of authority (e.g. peers, senior managers), not as a team leader but as a valued member who assists in building morale and makes extra effort to help the team reach organisational goals; taking actions that respect the needs and contributions of others; contributing to, accepting and promoting the consensus; subordinating own objectives to the objectives of the organisation or team.
• Using appropriate communication styles and techniques to develop esprit de corps and intra-team co-operation; managing disputes and conflict to the best possible solution; demonstrating awareness of the needs and the contributions of team members.
• Using communication and interpersonal styles and methods to inspire and guide individuals (subordinates, colleagues and superiors) toward improved goal achievement; modifying behaviours to accommodate tasks, situations, and individuals involved; influencing factors outside line control to achieve goals.
• Allocating task responsibilities and decision-making authority to appropriate team members, optimising their time, skills and potential for success.
• Showing concern for completeness and accuracy around tasks, information and project management. Accomplishing tasks with concern for all areas involved, no matter how small; maintaining watchfulness over a period of time. Discovering weaknesses or missing data and acting to correct.
• Keeping track of many details without forgetting items.