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Lead Claims Resolution Professional

2 weeks ago


Adelaide, South Australia beBeeClaims Full time $150,000 - $180,000
Job Title: Claims Resolution Specialist

We are seeking a highly skilled Claims Resolution Specialist to join our team.

  • Manage end-to-end claims across complex exposures, ensuring effective resolution and minimized risk.
  • Provide strategic advice on policy interpretation and claim resolution, collaborating with internal legal teams and external counsel.
  • Develop and implement governance frameworks and reporting for emerging risks and financial impacts, promoting alignment of claims strategies across stakeholders.
  • Contribute to process improvements and cost reduction initiatives, enhancing overall efficiency and effectiveness.

This role requires close collaboration with various stakeholders to ensure the effective management of complex claims. The successful candidate will provide guidance on policy interpretation, assist in resolving claims efficiently, and navigate complex issues with confidence.

Key Responsibilities:
  1. Claims Management: End-to-end management of complex claims, including class actions, cluster claims, and high-value exposures.
  2. Policy Interpretation: Strategic advice on policy interpretation and claim resolution, ensuring accurate and efficient claims handling.
  3. Collaboration: Collaboration with internal legal teams, panel firms, and counsel to manage legal complexities and resolve claims effectively.
  4. Reporting: Development and implementation of governance frameworks and reporting for emerging risks and financial impacts, promoting transparency and accountability.
  5. Process Improvement: Contribution to process improvements and cost reduction initiatives, enhancing overall efficiency and effectiveness.
Requirements:
  • Experience: Proven experience in claims management, preferably in a complex and high-stakes environment.
  • Skills: Strong analytical and problem-solving skills, with the ability to interpret complex policies and regulations.
  • Collaboration: Excellent collaboration and communication skills, with the ability to work effectively with various stakeholders.
  • Technical Expertise: Proficiency in technical tools and systems, with the ability to analyze data and identify trends.
Benefits:
  • Competitive Salary: A competitive salary package that reflects your skills and experience.
  • Ongoing Training: Ongoing training and development opportunities to enhance your skills and knowledge.
  • Collaborative Environment: A collaborative and supportive work environment that encourages teamwork and open communication.
About Us:

We are a leading [industry/field] organization dedicated to providing exceptional service and expertise to our clients. Our team is passionate about delivering results-driven solutions that meet the evolving needs of our clients.