Expert Insurance Claims Specialist
1 day ago
As an Insurance Claims Specialist, you will play a critical role in ensuring that claims are assessed and approved in a timely and accurate manner.
Key Responsibilities:- Assess and approve death, terminal illness, and permanent incapacity claims in accordance with relevant legislation and policies.
- Review insurer-declined claims, participate in review meetings, and advocate for fair and just outcomes for our members.
- Collaborate with partners and internal teams to ensure insurance and claims administration is efficient, accurate, and compliant.
- Identify trends, risks or issues and proactively escalate or resolve them.
- Manage workflow and competing priorities to finalise claims efficiently.
- Maintain up-to-date claims documentation, templates, and registers.
- Contribute to continuous improvement initiatives to enhance both processes and the member experience.
- Proven experience in a similar role, insurance/claim management/administration (ideally within superannuation or insurance).
- Strong knowledge of insurance settlement processes, superannuation law, and RG146 compliance.
- Sharp analytical skills — able to interpret data, identify trends/areas of concern, and make well-informed decisions.
- High level of compassion and excellent communication skills — able to explain complex decisions with clarity and care.
- Ability to build trust and rapport with members during challenging, emotional times.
- Strong organisational skills — able to juggle tasks without compromising quality.
- Experience with Microsoft Office (intermediate to advanced).
- Qualifications in law, business or a related discipline will be highly regarded.
- Comprehensive leave package including additional days of leave at the end of year, paid volunteer leave, gender neutral paid parental leave of 20 weeks, Gender Affirmation leave, reproductive health and wellbeing leave, Cultural and Ceremonial leave.
- Professional development opportunities including up to $5k per year professional development and up to 8 days professional development leave, HESTA scholarships and free access to a range of premium learning tools.
- Health and wellbeing support including free annual flu shots and skin checks, social events throughout the year and a comprehensive employee assistance program available 24/7.
- Financial wellbeing support including up to 15% super, financial planning support, incentivised Employee Referral Program and novated lease options.
We value diversity and inclusion in the workplace and welcome applications from all backgrounds, genders, identities, cultures and abilities. We are proud to be WGEA accredited as an Employer of Choice for Gender Equity.
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