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Claims Resolution Specialist

2 months ago

Mile End, Australia Royal Automobile Association of South Australia Full time
{"title": "Claims Resolution Specialist", "content": "About the Role

We are seeking a highly skilled Claims Resolution Specialist to join our team at the Royal Automobile Association of South Australia. As a key member of our claims team, you will be responsible for resolving complex claims and providing exceptional customer service to our members.

Key Responsibilities
  • Review and manage complaints that require a technical review, policy interpretation, and a keen understanding of claims procedures.
  • 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.
  • 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.
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 Us

The Royal Automobile Association of South Australia is one of the state's largest and most iconic organisations, 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.

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