Claims Portfolio Manager
3 days ago
We are seeking an experienced professional to manage claims portfolios accurately, ensuring compliance with Service Level Agreements (SLAs) and adherence to business rules, life code, SIS Act, and super code regulations.
- Manage own claim portfolio accurately, ensuring compliance with SLAs and adherence to business rules, life code, SIS Act, and super code regulations.
- Perform quality assurance tasks and conduct end-to-end claim reviews to ensure proficient and accurate case management within the team.
- Take ownership of providing coaching to colleagues to address any identified quality gaps.
- Ensure incidents are reported within SLA timeframes to leaders and assist with incident remediation when requested.
- Take ownership of complex enquiries raised both internally and externally, ensuring they are answered within agreed SLAs.
- Provide subject matter expert input for Standard Operating Procedures (SOPs) and ensure all SOP actions are completed within agreed timeframes.
- Support complaint management activities with internal and external stakeholders related to Insurance Claims and RG271.
- Collaborate with training and development teams to facilitate and/or support training sessions for the claims administration team.
Key Responsibilities
- Portfolio Management: Manage own claim portfolio accurately, ensuring compliance with SLAs and adherence to business rules, life code, SIS Act, and super code regulations.
- Quality Assurance: Perform quality assurance tasks and conduct end-to-end claim reviews to ensure proficient and accurate case management within the team.
- Coaching: Take ownership of providing coaching to colleagues to address any identified quality gaps.
- Incident Reporting: Ensure incidents are reported within SLA timeframes to leaders and assist with incident remediation when requested.
- Enquiry Resolution: Take ownership of complex enquiries raised both internally and externally, ensuring they are answered within agreed SLAs.
- SOP Development: Provide subject matter expert input for Standard Operating Procedures (SOPs) and ensure all SOP actions are completed within agreed timeframes.
- Complaint Management: Support complaint management activities with internal and external stakeholders related to Insurance Claims and RG271.
- Training and Development: Collaborate with training and development teams to facilitate and/or support training sessions for the claims administration team.
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