Claims Specialist

7 days ago

North Sydney Council, Australia beBeeClaimsConsultant Full time $94,590
Claims Consultant Job

We are seeking an experienced Claims Consultant to join our team.

In this role, you will be responsible for assessing and managing a portfolio of Retail Income Protection, Trauma, and Total & Permanent Disability (TPD) claims. You will oversee the entire claims process, including reviewing policies to determine the type and validity of cover, date of risk commencement, quantum of insured benefit, and claim eligibility.

You will develop tailored management strategies for each claim and engage and instruct external medical, legal, vocational, and forensic vendors to act on our behalf. A continuous improvement mindset is key to success in this role, as you will identify and implement enhancements to systems, processes, and procedures to help the team work more efficiently and effectively.

  • Experienced in managing all stages of claims, including front-end claims management, with a focus on retail income protection.
  • Ability to assess complex information, interpret policy terms, and make fair, consistent decisions on claim outcomes.
  • High-level attention to detail, ensuring accuracy when reviewing documents, medical reports, and policy information to avoid errors and ensure compliance.
  • Strong knowledge of medical terminology, or training in an allied health or medical-related field.
  • Excellent problem-solving skills, with the ability to resolve complicated cases, overcome obstacles, and find practical solutions to support both customers and the business.
  • Excellent verbal and written communication skills, able to effectively communicate with claimants, medical professionals, and internal stakeholders, often explaining sensitive or complex information in a clear, empathetic way.
  • Exceptional organisational and time management skills, able to manage multiple claims and deadlines efficiently, ensuring timely progression and resolution of cases while maintaining a high standard of service.

This role offers many benefits, including:

  • 5 weeks of annual leave per year, plus 15 days of personal/carer's leave.
  • A hybrid working arrangement – 3 days in the office and 2 days working from home per week.
  • Access to programs to stay healthy and feel healthier, receive an AUD$500 wellbeing payment per year, and a AUD$295 new starter e-voucher for your work-from-home setup.
  • Award-winning training programs to support your career development.
  • The opportunity to work with global, diverse, and inclusive teams, explore your passions, fuel innovation, drive equity, collaborate, and make a positive difference beyond your role.

We value diversity and inclusion in our workplace, and we welcome applications from candidates who share these values.

Please note that this job description is a general outline of the role and responsibilities associated with it.

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