Insurance Claims Specialist
2 weeks ago
We seek an experienced professional to manage insurance-related incidents and claims, ensuring timely compliance with Fund policies and delivering high-quality outcomes for impacted members.
Key Responsibilities:- Proactively oversee a portfolio of insurance and claim-related incidents, guaranteeing prompt and compliant remediation.
- Maintain accurate records of incidents and remediation across administrative and insurance functions.
- Coordinate and manage complex incidents involving multiple third parties, including administrators and insurers.
- Oversight the execution and quality of remediation actions by third parties.
- Analyze and ensure quality assurance on outcomes affecting impacted member cohorts.
- Hold third parties accountable for timely and effective delivery of remediation plans.
- Make informed decisions within delegated authority and maintain decision registers.
- Demonstrated experience in incident analysis and remediation, preferably in superannuation and/or insurance claims.
- In-depth knowledge of superannuation industry processes, specifically insurance within super funds.
- Familiarity with SIS Act and SIS Regulations relevant to member remediation and incident handling.
- Proven ability to manage third-party providers and hold them accountable for service performance.
- Strong analytical, communication, and stakeholder engagement skills.
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