
Claims Management Specialist
1 week ago
The role of Claims Management Specialist involves managing a portfolio of claims and ensuring their seamless resolution. This position requires leadership skills to manage a team, provide strong customer experience, and continuously improve and deliver on customer claims promises.
Key responsibilities include but not limited to:
- Proactively manage a small portfolio of complex/high-value Accident and Health claims end to end.
- Provide technical support and advice to claims assessors/operations.
- Develop and monitor business continuous improvement initiatives that will deliver business outcomes.
- Oversee and support the robust Return-to-Work framework in conjunction with agreed RTW providers and other stakeholders.
- Act as a point of escalation for escalated claims, customer concerns, and complaints.
- Provide ongoing training and development opportunities for team members to enhance their skills.
- Support new and ongoing projects within the team.
- Manage emergency assistance cases daily, including actioning relevant email inboxes and responding to routine enquiries from external emergency assistance providers.
- Prior experience and knowledge in working with medical emergency assistance providers and the management of these cases, including A/H calls and escalations as required by the business.
To succeed in this role, you must hold 5+ years' experience in General Insurance, Travel/PA Claims, or a similar line is essential.
- Excellent verbal and written communication skills are necessary.
- Strong analytical and decision-making skills are also required.
- A high level of attention to detail, with the ability to prioritise and multi-task.
- Proactive attitude and willingness to learn are essential.
- Ability to set and meet service levels and individual KPIs.
- Demonstrated ability to partner effectively with business leaders and establish strong professional relationships across the enterprise.
- Change management experience will be helpful.
- Prior experience in leading, coaching, and empowering people to develop individual and team potential is desirable.
- Understanding of FSRA, Privacy Act, and General Insurance Code of Practice (GICOP) is necessary.
- A competitive salary package with yearly bonus and great benefits.
- Novated leasing options for your assets, e.g., vehicle, mobile, laptop.
- A flat management operating structure with minimal hierarchy and access to Executive Leaders.
- Flexible working - hybrid position, WFH 2 days a week.
- Additional wellbeing leave day to use as you see fit, in addition to optional flu vaccinations provided onsite.
- Volunteer day with a charity of your choice.
- Twelve weeks of paid parental leave for primary carers, 6 weeks for secondary carers.
- Social committee in a friendly, down-to-earth high-performing culture.
- Ongoing learning and development programs tailored to your career progression goals.
- Significant discounts with large Japanese multinational companies and other large national retailers.
In return, we will give you everything you need to develop your skills and build a successful role at our organisation.
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