Life Claims Specialist

7 days ago

Sydney, New South Wales, Australia beBeeClaims Full time $133,300 - $183,600

About this Role

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We are currently working exclusively with a leading Life Insurer who has both the stability of an established financial entity dating back to late 19th Century, and the feel of an energetic mature start up which is a great mix to have in a business.

They pride themselves on delivering exceptional service and products to their customers across a multitude of insurance channels.

A trusted financial partner to millions of Australians across both Retail and Group Life insurance industries.

The Purpose

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The primary objective of this role is to lead a team of claims professionals to manage a portfolio of complex claims that require further clarification investigation due to conflicts in claims duration factors inconsistencies or inaccuracies in evidence requiring an in depth review and case management process.

This role will also have oversight of all active Individual IP claims generally of a complex technical nature.

Key Responsibilities

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  • Develop and implement an effective operating rhythm with the case management teams to identify take ownership of and manage the complex claim portfolio.
  • Connect to the broader organisation through trusting relationships with other internal departments to find ways to share information collaborate and contribute to the success of the business.
  • Deliver the customer experience in line with our claims philosophy and guidelines.
  • Lead a team of specialists to provide sound technical outcomes in the assessment of complex claims explaining complex decisions with documented logical clear rationales.
  • Ensure quick fair resolution to any complaints escalations.
  • Motivate coach and mentor the team to drive high performance.
  • Share claims assessment and policy interpretation expertise as a way of developing team members.
  • Lead through change by role modeling championing new initiatives.
  • Foster build upon current internal external key stakeholder relationships e.g Leadership team UW Product Legal Clients Reinsurers Regulators etc.
  • Contribute to the financial targets of the Claims unit by managing budgets expenses within targets limits.
  • Proactively manage risk compliance pertinent to this role/business unit.

Requirements

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  • A minimum of 12-15 years experience in the Life Insurance claims industry with at least 4 years in a Team Management position. Experience in the Retail Life sector would be highly regarded.
  • Extensive understanding of the Life Insurance claims regulatory frameworks both pre post Royal Commission LICOP LICOPv2 LIF. A strong current relationship with CALI AFCA and other regulatory bodies would be highly desirable.
  • Demonstrated technical claims expertise a former senior principal reinsurance claims consultant would be highly regarded.
  • A tertiary degree in a relevant field.

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