Senior Claims Operations Specialist

4 days ago


Melbourne, Victoria, Australia beBeeClaims Full time $100,000 - $140,000

As a senior claims operations consultant, you will play a key role in leading and executing the technical capability of the claims intake team.

Key Responsibilities
  • Manage escalated decision activities according to defined process standards.
  • Collaborate with internal stakeholders to enhance team knowledge and reduce future escalations.
  • Provide expert support to the claims intake team in handling declined claims, responding to complex member enquiries, and managing complaints with professionalism and empathy.
  • Act as a subject matter expert in claims systems and processes.
  • Assist the senior manager in daily workflow allocation, focusing on timely handling of urgent and declined matters.
Technical Expertise
  • Demonstrated technical expertise with a deep understanding of claims processes and indemnity assessment.
  • Ability to coach effectively to ensure process adherence, provide constructive feedback and guidance that supports team learning and enhances overall capability.
  • Strong written and verbal communication skills, with the ability to explain complex decisions clearly.
  • Effective collaboration with internal stakeholders and contribution to a positive team culture.

The ideal candidate possesses a strong analytical mindset, sound judgment, and excellent communication skills. This role requires delivering exceptional service and having a background in claims or a related field.



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