Claims Consultant
2 months ago
Torrens, Australian Capital Territory, Australia
RAA
Full time
About the RoleWe are seeking a highly skilled Claims Consultant to join our team at RAA. As a Claims Consultant, you will play a critical role in ensuring that our members receive fair and reasonable outcomes in relation to their insurance claims.
Key Responsibilities- Review and manage complaints that are escalated from staff or leaders in relation to the claims decision and customer experience.
- Identify the primary cause of the complaint and determine the best next steps to resolve the issue.
- Assist in ensuring that the claims interpretation of policy and conditions is fair and reasonable, and that determinations are made with appropriate consideration of individual circumstance while also being commercially sound.
- Liaise with claims leaders, underwriting, dispute resolution, and several other RAA departments to progress complaints and form accurate decisions.
- Use knowledge and experience to make sound customer service and commercial decisions that achieve acceptable outcomes for both the Member and RAA.
- Review and manage complaints through RAA's internal dispute resolution process, ensuring compliance timeframes are met, that reasonable and correct outcomes are achieved, and that supporting file information is correctly stored.
- Experience as a high performing General Insurance Claims officer or Dispute Resolution specialist.
- Proven ability to provide excellent quality of work to our members, including critical thinking and problem-solving skills to inform decision-making.
- Exceptional written and verbal communication skills.
- Sound knowledge of Insurance processes, procedures, and guidelines, together with knowledge of the General Insurance Code of Practice, Privacy Principles, Dispute Resolution Process and required legislative requirements arising from relevant Acts.
- ANZIIF Insurance qualifications (desirable).
As one of South Australia's largest and most iconic organisations, we're proud to deliver our trusted range of motor, home, and travel services to more than 820,000 members. We're committed to building a workplace that's diverse and inclusive, where employees are embraced for their unique qualities and valued for their contributions.
Benefits- Free RAA premium road service.
- Access to our Member Benefits program.
- Generous discounts on all RAA products.
- Flexible work arrangements.
- Ongoing Training & Development opportunities and a Study Support Program.
- Wellbeing facilities and Corporate Health Insurance Plan.