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Insurance Claims Specialist

2 months ago

Mile End, Australia RAA Full time
{"title": "Insurance Claims Specialist", "description": "About the Role

We are seeking an experienced Insurance Claims Specialist to join our team at RAA. As a key member of our Member Response team, you will be responsible for reviewing and managing escalated complaints related to claims decisions, policy interpretation, and customer experience.

Key Responsibilities
  • Review and manage complaints through RAA's internal dispute resolution process, ensuring compliance with timeframes and achieving reasonable and correct outcomes.
  • Liaise with Product & Underwriting, External Dispute Resolution, Governance and Risk, and other key internal and external stakeholder groups 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.
Requirements
  • 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.
About RAA

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 over 820,000 members. We're committed to building a workplace that's diverse and inclusive, where employees are valued for their unique qualities and contributions.

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