
Senior Insurance Remediation Specialist
2 weeks ago
The key objective of this role is to support the management and resolution of insurance-related incidents and claims.
This position plays a critical part in ensuring compliance with relevant policies, legislation, and delivering high-quality outcomes for members affected by insurance and claim-related events.
Main Responsibilities:- Manage a portfolio of insurance and claim-related incidents, ensuring timely and compliant resolution.
- Maintain accurate records of incidents and remediation activities across administrative and insurance functions.
- Coordinate and manage incidents involving multiple third parties (administrators and insurers).
- Oversee the execution and quality of remediation actions performed by third parties.
- Conduct analysis and quality assurance on outcomes affecting impacted member cohorts.
- Hold third parties accountable for the timely and effective delivery of remediation plans.
- Make informed decisions within delegated authority and maintain decision registers.
- Ensure all incident and remediation activities meet applicable legislative, organisational compliance standards.
- Proven experience in incident analysis, preferably in superannuation and/or insurance claims domain.
- Deep understanding of superannuation industry processes, especially insurance within super funds.
- Solid knowledge of SIS Act and SIS Regulations relevant to member remediation and incident handling.
- Experience managing third-party providers and holding them accountable for service performance.
- Strong analytical, communication, and stakeholder engagement skills.
- Familiarity with risk management frameworks and regulatory environments.
- Ability to work collaboratively in a dynamic team environment.
- Proficiency in MS Office Suite or similar productivity tools.
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