Accident & Health Claims Examiner

15 hours ago


North Sydney Council, Australia beBeeClaims Full time $70,000 - $80,000
Job Title:

Career Opportunities for Claims Examiner

About the Role:

We are seeking a skilled Claims Examiner to join our team. As a Claims Examiner, your primary focus will be on handling Accident and Health Japanese client claims in a prompt and professional manner.

Your Responsibilities:
  • Manage a portfolio of claims for Accident and Health Japanese clients and assist with processing other Retail claims as required.
  • Evaluate claims in accordance with service level and quality requirements, including determining coverage, reserving within timeframes, making payments, responding to customer queries, providing updates, and requesting additional information as needed.
  • Communicate effectively with brokers, claimants, and other stakeholders through telephone and written correspondence.
  • Pursue ongoing training and development opportunities to enhance your skills and knowledge.
  • Collaborate with underwriters, compliance, and other departments to resolve matters efficiently.
  • Apply claims policies and procedures, including those related to fraud, salvage, cost containment, and complaints.
  • Review income replacement claims for payment of periodic benefits and develop strategies for claim management and successful return-to-work initiatives.
  • Participate in claims meetings with internal and external stakeholders as necessary.
  • Handle Emergency Assistance cases end-to-end.
  • Coordinate payment of claims costs and service provider fees, including reconciliation and liaison with overseas entities.
  • Provide guidance and coaching to service providers as required.
  • Maintain performance and process oversight of service providers, recommending improvements where necessary.
  • Support daily payment, audit, and administrative tasks as needed.
Why Join Us:

We value diversity and inclusivity, fostering a flexible and equitable work environment. We welcome applications from all members of our community and provide equal access to employment opportunities.

We celebrate our employees' success and well-being, offering a range of benefits to support their personal and professional growth.



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