Claims Specialist

1 month ago

Sutherland Shire, Australia WNS Global Services Full time
Job Description

Lodge new insurance claims for our customers and intermediaries, utilizing exploratory questioning, policy interpretation, and analytical skills to make informed decisions.

Key Responsibilities:
  • Elevate the customer experience by setting clear expectations of the claim process and effectively communicating how the claim will be managed.
  • Negotiate and obtain collection of customer excess, including education on payment options.
  • Accountable for financial outcomes impacting claims costs through application of correct policy limits, applicable laws, and leveraging preferred suppliers/repair methods.
  • Respond to and manage customer, supplier, and repairer enquiries on existing claims via customer channel of choice, focusing on cost management and progressing and finalizing the claim.
  • Ensure information provided to the customer is clear, complete, and accurate based on sound knowledge and understanding of claim policies, processes, and their intent.
  • Ensure claim review is completed on each claim touch, liaising with suppliers and repairers to ensure timely replacement and/or repair experience for our customers and claim is progressed efficiently.
  • Identify opportunities to improve processes and systems and participate in their testing, contributing to overall efficiency and cost-effectiveness of the Claims function.
  • Accountable for decision-making within policy guidelines and delegations of authority to deliver the best outcome for the customer and the organization.
  • Display appropriate and professional workplace behaviors, assist other team members, and undertake other key responsibilities to contribute to overall portfolio health.
  • Demonstrate responsibility for own personal development and professional learning goals, actively participating in performance review process in conjunction with direct Leader.
Qualifications:

Relevant tertiary qualification desired (Business, Finance, Commerce).

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