Senior Claims Expert
4 days ago
The role of Senior Claims Expert requires a deep understanding of health insurance, with strong business acumen and operational expertise. This position entails leading the design of target state for claims operations, engaging stakeholders to ensure alignment, contributing to executive-level documentation, and providing market-leading insights into industry best practices.
Key Responsibilities:- Design future-state models for claims operations, aligning with business goals and regulatory requirements.
- Engage with stakeholders across all levels to ensure alignment and clarity on transformation objectives.
- Contribute to the development and communication of executive-level documentation, including roadmaps, priorities, and target state design.
- Provide market-leading insights into industry best practices, emerging trends, and innovative approaches to claims transformation.
- Shape requirements at epic and feature levels, ensuring business value and feasibility are well-articulated.
- Deep expertise in health insurance, with strong business acumen and operational understanding.
- Proven experience in claims operations, particularly in designing and implementing future-state models.
- Exceptional communication skills, with the ability to influence and engage executive and business-facing stakeholders.
- Familiarity with Australian health insurance regulations (highly valued but not mandatory).
- Exposure to Pega Smart Claims Engine or similar platforms (optional but advantageous).
We offer great opportunities within a dynamically growing organization. You will elaborate and deliver best practice solutions and will be able to further develop your skills.
-
Senior Claims Operations Expert
2 weeks ago
Melbourne, Victoria, Australia beBeeConsultant Full time $90,000 - $120,000Claims Consultant OpportunityThis senior claims consultant will lead and execute the technical capability of the claims intake team, ensuring accurate and consistent indemnity assessments.The role involves:Managing escalated decision activities in line with process standards, collaborating with stakeholders, and using insights to uplift team...
-
Senior Claims Resolution Expert
19 hours ago
Melbourne, Victoria, Australia beBeeClaimsResolution Full time $90,000 - $130,000Job Title: Senior Claims Resolution ExpertAbout the RoleWe are seeking an experienced Claims Resolution Expert to support our Specialty Claims portfolio. The successful candidate will collaborate with key stakeholders, drive value and benefit, and achieve the best possible outcomes for our clients by resolving and settling claims proactively.Key...
-
Expert Claims Portfolio Manager
1 week ago
Melbourne, Victoria, Australia beBeeClaims Full time $90,000 - $120,000Senior Claims Consultant JobThe role of a Senior Claims Consultant is to oversee a small portfolio of complex life insurance claims. This position requires in-depth knowledge of claims management and the ability to work independently.As a Senior Claims Consultant, you will act as a technical expert, applying your expertise to multi-policy fund arrangements....
-
Claims Expert Lead
6 days ago
Melbourne, Victoria, Australia beBeeClaims Full time $120,000 - $140,000Job DescriptionThis role is a key member of the Claims Intake team, responsible for leading and executing technical and quality capabilities. The successful candidate will ensure indemnity assessments and decision-making activities are accurate, consistent, and delivered within established service standards.The primary responsibilities include managing...
-
Senior Claims Executive
4 hours ago
Melbourne, Victoria, Australia at Full timeAre you a claims professional with strong technical expertise and a passion for client service? Our client, a leading multinational insurance brokerage, is seeking an experienced Senior Claims Executive to manage a diverse portfolio of corporate claims across multiple lines.The RoleAs a Senior Claims Executive, you'll be the key point of contact for...
-
Senior Claims Executive
1 week ago
Melbourne, Victoria, Australia beBeeClaims Full time $100,000 - $145,000Claims Leadership RoleThis position oversees the Claims Intake team, ensuring that technical and quality capabilities are developed and executed within established service standards.Key ResponsibilitiesLead escalated decision activities in line with defined process standards, collaborating with internal stakeholders, and using insights to improve team...
-
Claims Expert
1 week ago
Melbourne, Victoria, Australia beBeeLiability Full time $89,709 - $110,000Role OverviewWe are seeking a Liability Claims Consultant to join our team. In this role, you will specialize in managing complex General Liability claims for key customers.You will be responsible for interpreting policy wording and applying it accurately.Managing claims of varying complexities, providing recommendations on indemnity, liability, quantum,...
-
Expert Claims Operations Leader
2 weeks ago
Melbourne, Victoria, Australia beBeeClaims Full time $90,000 - $130,000Our organization is seeking a Senior Claims Operations Consultant to lead and execute the technical and quality capability of our Claims Intake team.Main ResponsibilitiesManage escalated decision activities in line with defined process standards, ensuring accurate and consistent results within established service levels.Provide expert support to the CI team...
-
Claims Expert
1 week ago
Melbourne, Victoria, Australia beBeeClaim Full time $98,000 - $123,000Senior Claims SpecialistWe are seeking a Senior Claims Specialist to manage workers compensation claims across multiple jurisdictions.Main Responsibilities:Proactively oversee a portfolio of claims within legislative and business parametersProvide high-level support and advice to injured team membersDevelop effective claim strategies to ensure timely and...
-
Senior Life Claims Specialist
4 days ago
Melbourne, Victoria, Australia beBeeClaims Full time $100,000 - $120,000Expert Claims Professional SoughtThe role of the Senior Claims Consultant is a highly specialized position within our Corporate Insurance team, focusing on managing complex portfolios of life insurance claims.As a technical expert, you will apply your extensive knowledge to multi-policy fund arrangements while coaching and mentoring developing...
