Accident & Liability Claims Specialist

2 weeks ago


Sydney, New South Wales, Australia beBeeClaims Full time $97,643 - $135,108
Claims Examiner Role

This position involves delivering high-quality work products on Accident & Health or Combined Insurance claims through professional interactions with customers, brokers, and thorough investigation, reserving, and adjustment of claims incurred by insureds.

The role includes managing a portfolio of claims for Accident & Health and/or Combined Insurance claims as allocated, assisting in processing other Retail claims as required.

Key responsibilities include assessing claims in accordance with service level and quality requirements, determining coverage, reserving within timeframes, making payments, responding to customer queries, providing updates, and requesting additional information as needed.

Effective communication with brokers, claimants, and others via telephone and written correspondence is essential.

Participation in Claim Department and companywide training as required is also necessary.

Responding to enquiries and escalations of matters from underwriters, brokers, and customers, working with underwriters, the Compliance Department, and other departments as needed is crucial.

Reviewing income replacement claims for payment of periodic benefits at lodgement stage and key points in the claim cycle, developing strategies for claim management and successful return to work of the claimant where possible is vital.

Participating in claims meetings with internal and external stakeholders as required is important.



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