Complex Claims Specialist
2 weeks ago
Senior Claims Consultant Role
Our organisation is seeking a highly skilled Senior Claims Consultant to play a pivotal role in guiding customers through life insurance claims with care, expertise, and efficiency. As a key member of our Retail Income Protection Claims team, you will be responsible for managing a portfolio of complex Retail Income Protection claims, ensuring customer needs are balanced with policy and business requirements.
Effective communication is crucial in this challenging role, where you will interact with customers, advisers, and treating practitioners via phone and written correspondence. Your primary goal will be to interpret policy terms, underwriting decisions, and non-disclosure matters to determine claim eligibility.
Additionally, you will analyse complex financial and medical information to make sound, evidence-based claims decisions. Developing and monitoring Return to Work (RTW) plans in collaboration with customers and healthcare providers will also be an essential part of your responsibilities.
Case conferences will be led by you, employing strategies to gather critical information on customer conditions and work capacity. Collaboration with internal and external stakeholders, including underwriters, rehab consultants, legal and medical officers, and reinsurers, is also expected.
As a technical leader across the claims team, you will mentor junior staff and contribute to strategic decision-making.
- Manage a portfolio of complex Retail Income Protection claims.
- Communicate effectively with customers and stakeholders.
- Interpret policy terms and underwriting decisions.
- Analyse complex financial and medical information.
- Develop and monitor RTW plans.
- Lead case conferences and gather critical information.
- Collaborate with internal and external stakeholders.
Qualifications:
- A minimum of 4-6 years' experience in Claims across Retail Income Protection Insurance.
- Ability to build rapport and empathy with customers during difficult times.
- Comfortable navigating claims systems.
- Diploma or Cert IV in Life Insurance, or equivalent (desirable).
Our organisation is committed to inclusion and supporting the career growth of our diverse workforce. We welcome applications from people with diverse experiences, perspectives, and backgrounds.
-
Claims Specialist
1 week ago
Sydney, New South Wales, Australia beBeeClaim Full time $150,000 - $200,000Seeking a seasoned claims expert to manage complex property and energy claims. You will have the opportunity to develop your expertise in Commercial Property, Energy, and Specialty Insurance.Key ResponsibilitiesManage a portfolio of complex claims from coverage inquiry through to quantum analysis, ensuring timely and accurate resolution.Provide training and...
-
Complex Claims Specialist
2 weeks ago
Sydney, New South Wales, Australia beBeeClaims Full time $108,956 - $143,864Job Title: Complex Claims ProfessionalWe are seeking a highly skilled and experienced Complex Claims Professional to join our team. This is a unique opportunity to utilize your expertise in managing high-value and complex claims, providing strategic advice, and collaborating with internal legal teams and external counsel.Key Responsibilities:Lead complex...
-
Complex Claims Specialist
1 week ago
Sydney, New South Wales, Australia beBeeCase Full time $100,000 - $140,000Job DescriptionHigh Complexity Case Managers work closely with injured parties, healthcare professionals, legal representatives, and other stakeholders to manage complex CTP insurance claims.The Opportunity involves playing a crucial part in managing complex CTP insurance claims.
-
Sydney, New South Wales, Australia Suncorp Group Limited Full timeTake the next step.Be part of something bigger at Suncorp.Senior Claims Specialist – High Value and Complex Claims Lead complex liability and professional indemnity claims with strategic impact Collaborate with legal teams, panel firms, and internal stakeholders Drive resolution of high-value claims and contribute to technical excellence We're seeking a...
-
Sydney, New South Wales, Australia Suncorp Group Limited Full timeTake the next step. Be part of something bigger at Suncorp.Senior Claims Specialist – High Value and Complex ClaimsLead complex liability and professional indemnity claims with strategic impactCollaborate with legal teams, panel firms, and internal stakeholdersDrive resolution of high-value claims and contribute to technical excellenceWe're seeking a...
-
Sydney, New South Wales, Australia Suncorp Group Limited Full timeTake the next step. Be part of something bigger at Suncorp.Senior Claims Specialist – High Value and Complex ClaimsLead complex liability and professional indemnity claims with strategic impactCollaborate with legal teams, panel firms, and internal stakeholdersDrive resolution of high-value claims and contribute to technical excellenceWe're seeking a...
-
Sydney, New South Wales, Australia Aig Full time#LI-JC1At AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Examiner in Financial Lines to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team.AIG is a leading provider of insurance products and services for commercial and personal insurance...
-
Careers: Complex Medical
2 weeks ago
Sydney, New South Wales, Australia beBeeClaims Full time $90 - $105Claims SpecialistWe're looking for an experienced professional to join our team as a Claims Specialist. In this role, you'll work closely with customers who are facing unexpected situations and provide them with expert guidance and support.Your primary responsibility will be to manage complex medical and loss of income claims from start to finish. This...
-
Claims Specialist
2 weeks ago
Sydney, New South Wales, Australia beBeeAdvocate Full time $180,000 - $220,000Senior Claims Advocate Job OpportunityThis role offers the chance to work on complex, high-profile claims within a collaborative and dynamic environment.Key responsibilities include:Providing detailed coverage analysis and advice on financial lines claims, including construction, claim characterisation, interpretation, and exclusions.Conducting urgent...
-
Claims Specialist
6 days ago
Sydney, New South Wales, Australia beBeeClaims Full time $80,000 - $110,000Job Title: Claims SpecialistWe are seeking an experienced Claims Specialist to join our team in Sydney. As a Claims Specialist, you will use your skills and knowledge to resolve insurance claims and examine reported insurance losses to establish the cause, liability and quantum.Key Responsibilities:Resolve insurance claims and examine reported insurance...
