
Claims Specialist
3 days ago
The primary function of this position is to manage insurance claims and deliver exceptional customer service to members and beneficiaries.
The ideal candidate will possess a strong understanding of superannuation and industry regulations, as well as excellent communication skills, both written and verbal. They will be process-oriented with great attention to detail and have the ability to actively listen and empathise.
Key Responsibilities:
- Deliver high-quality customer service on inbound and outbound calls by providing accurate information regarding account details without offering financial advice.
- Effectively manage difficult conversations by actively listening, empathising, and identifying the member or beneficiary's needs.
- Lodgment and triaging of claims in a timely and efficient manner.
- Take ownership of Death/Terminal Illness (DTI), Total and Permanent Disability (TPD), Income Protection (IP), and Permanent Incapacity (PI) claims, ensuring effective communication throughout the lifecycle of each claim.
- Proactively follow up on receipt of claim documents with members and beneficiaries and assist in the completion of their forms.
- Action and complete claim work within agreed SLAs and escalate any potential SLA risks.
- Contribute positively and collaboratively to the success of shared team goals by participating in training and upskilling to build knowledge and skills within yourself and your team.
The successful candidate will demonstrate an active willingness to learn and grow with the organisation, while delivering the fund's service expectations that achieve an end-to-end life cycle for every claim and making recommendations to the Trustee on all product claims.
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