Insurance Claims Specialist

2 days ago

Sydney, New South Wales, Australia beBeeClaims Full time $80,000 - $110,000

Our company is seeking an experienced Case Manager to join our team at a pivotal time in our digital transformation journey.

In this role, you will manage a portfolio of complex life insurance claims primarily across Group but Retail experience is also highly valued. You will be empowered to use your technical skills to assess claims in line with policy intent, while supporting customers through critical life moments with empathy and professionalism.

This is a great opportunity to be part of a team that's modernising the way we deliver claims, placing customer outcomes, efficiency and integrity at the centre of everything we do.

Key Responsibilities
  • Technical Expertise: Proactively manage and assess a portfolio of claims end-to-end, developing, recommending and implementing case management strategies to drive sustainable outcomes and consumer expectations adhering to policy definitions, philosophies, risk management meeting SLAs and other core claims metrics.
  • Customer Experience and Communication: Proven ability to communicate professionally claims decisions and updates written and verbal, delivering a consistently high standard of service by communicating with empathy, clarity and professionalism.
  • Delegation of Authority (DA): Currently holds a DA with consistent pass QA outcomes in their portfolio.
  • Risk Management: Drives and adheres to all claims-related regulatory and compliance requirements, recognising, categorising and prioritising claims in accordance with business needs and fund partner expectations.
  • Collaboration/Culture: Work collaboratively with all stakeholders (internal and external) to establish and maintain relationships with claimants, financial advisers, distribution as applicable, and drive an inclusive workplace culture.
  • Time Management: Proven time management skills with demonstrated ability to prioritise work in a changing environment.
  • Continuous Improvement: Identify opportunities to improve how we assess and manage claims, contributing to our broader goal of enhancing both the customer and case manager experience.
Requirements
  • Experience managing life insurance claims ideally with 3+ years' experience within a Group Insurance environment.
  • Work with minimal supervision and currently holds a DA across all Group product lines.
  • Sound understanding of relevant legislation, policy definitions and the claims assessment process.
  • Proven ability to interpret complex information and make evidence-based, defensible decisions.
  • Strong communication skills, with the ability to explain outcomes clearly and support customers with empathy.
  • Comfortable working with digital systems and open to adapting to new technology and ways of working.
  • A collaborative team player who contributes positively to team culture and supports shared goals.
  • Demonstrated resilience and adaptability when managing complex cases, competing priorities and change.

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