Senior Claims Resolution Professional

2 days ago

Melbourne, Victoria, Australia beBeeResolution Full time $92,100 - $105,575

Job Summary:

Claims Resolution Specialist
  • This Claims Resolution Specialist role is responsible for delivering exceptional service to customers and colleagues. The primary goal of the position is to resolve issues and escalations in a timely manner while meeting business objectives and priorities.
  • The Claims Resolution Specialist will be expected to build strong relationships with team members and key contacts, creating positive impressions and assisting others to do the same.

Key Responsibilities:

Key Skills and Qualifications:
  • Effective communication and interpersonal skills are essential for this role. The ideal candidate will be able to build trust and rapport with stakeholders at all levels.
  • Strong analytical and problem-solving skills are required to manage audits and compliance within claims administration.
  • Incident management and escalation resolution are critical components of this position.
  • The successful candidate will be responsible for ensuring that ageing claims are managed effectively within teams.
  • They will also support transitions into new systems and processes.
  • Providing clear direction and managing issues and escalations while monitoring progress and implementing controls and improvements is a key responsibility.
  • Embracing change and driving superior customer service from the team is a core aspect of this role.
  • Meeting frequently with leadership teams to discuss escalations and issues, and providing feedback on team performance is an essential duty.
  • Coaching and mentoring other staff to deliver outstanding service and developing their capabilities is also a key responsibility.
  • Ensuring all escalations and issues are resolved promptly and preventative measures implemented is a crucial aspect of this position.
  • Actively contributing to and supporting the provision of superior customer service is a core value of this role.
  • Sharing knowledge and experience with others is an important part of this position.
  • Collecting and analyzing data to highlight trends and producing reports as required by senior management is a key responsibility.
  • Providing the team with clear and current case management principles and claims procedures is also a duty.
  • Assisting with ad-hoc matters as required by the business delivery manager and insurance leadership team is a final key responsibility.

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