Expert Claims Specialist

5 days ago

Sydney, New South Wales, Australia beBeeClaims Full time

Job Summary:

We are seeking a skilled Claims Specialist to deliver market-leading claims management services and strengthen client relationships.

Key Responsibilities:

  • Client Partnership: Build deeper client relationships through tailored engagement plans, embedding consistent, best-practice claims management.
  • Claims Management: Oversee L&H client portfolios across all lines of business, ensuring decisions align with treaty terms, policy guidelines, and regulatory requirements.
  • Trend Identification: Use claims data and expertise to identify trends, support new business opportunities, and guide product development.
  • Knowledge Sharing: Deliver services such as training, audits, complex case consulting, and process improvements to strengthen client capabilities.
  • Risk Analysis: Analyse claims and market data to identify emerging risks and opportunities, contributing to stronger risk management strategies.
  • Technical Excellence: Ensure all assessments and claim adjudications are rigorous, consistent, and compliant with regulatory frameworks and legislative requirements.
  • Client-Focused Solutions: Develop and provide services aligned to client strategies and our claims vision, ensuring measurable impact.
  • Cross-Functional Collaboration: Collaborate with colleagues in Underwriting, Pricing, Valuation, Client Markets, and Solutions to influence outcomes and drive value.

About the Team:

Our team is responsible for delivering market-leading claims management services that strengthen client relationships, support portfolio profitability, and enhance industry practice.

Requirements:

  • Technical Expertise: Significant technical expertise in life insurance claims, ideally across all retail and group insurance products in the Australia and New Zealand market.
  • Experience: Minimum 5 years' insurance/reinsurance claims assessment experience, with peer or industry recognition advantageous.
  • Knowledge: Strong knowledge of the Australia and New Zealand insurance landscape, products, and regulatory environment.
  • Success Factors: Proven success in managing stakeholder relationships, influencing best-practice outcomes, and delivering client-facing services.
  • Desirable Skills: Familiarity with claims technology (automation, workflow tools, triage systems) and/or data analytics for insights and portfolio management.
  • Education: Relevant tertiary degree and/or evidence of continuous professional development, including ALUCA CPD accreditation.

Personal Qualities:

  • Purpose-Driven: Passionate about advancing the industry and delivering meaningful outcomes for clients and end customers.
  • Strong Technical Skillset: Deep knowledge of claims assessment, with the ability to apply expertise across complex cases.
  • Collaborative Mindset: Skilled at building inclusive relationships and driving cross-functional teamwork internally and with client claims teams.
  • Influential Communicator: Excellent negotiation, influencing, and presentation skills, with the ability to deliver clear, impactful messages.
  • Proactive and Resilient: A self-starter with a solutions-oriented approach who can anticipate risks, identify opportunities, and adapt to challenges.

Benefits:

Our company offers attractive offices, competitive benefits such as 25+ days annual leave, 15 days personal leave, flu vaccinations and annual health checks.

Equal Opportunity Employer:

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, colour, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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