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Complex Claims Specialist
3 weeks ago
An East Melbourne based boutique Brokerage with an incredibly strong reputation is seeking a Technical Claims Specialist to join their team. Located close to public and offering some excellent benefits including hybrid working this is an opportunity not to be missed for those looking to work closer to home.
As a Technical Claims Specialist, you will handle a portfolio of complex and litigated claims while providing advise and guidance to the rest of the claims team.
**Key Responsibilities**
- Management of a portfolio of mixed liability claims including litigated matters.
- Determine the nature of the loss and coverage provided, then effectively negotiate, and investigate each claim while communicating with all relevant parties.
- Point of contact for all complex matters.
- Review all declinatures and provide advice on next steps.
- Assist the team leader in managing complex claims and provided information relating to claim tends.
- Provide advise and technical support to the wider claims team.
- Provide advice on coverage.
- Proactively drive claim progress.
- Interpret policy wording and review of circumstance to ensure coverage is maximised.
- Provide structured claim solutions.
- Liaise with clients, external service providers and other insurance organisations.
**Key Requirements**
- Experience managing a portfolio of mixed liability claims (including PI, Construction and ML).
- Legal qualifications would be advantageous but not essential.
- Strong understanding of complex and litigated claims matters.
- Effective communication, negotiation, dispute resolution and decision-making skills.
- Proven ability to build a strong rapport with service providers and customers.
- Confident in your ability to effectively manage the claims process and all relevant parties.
- Experience IDR and AFCA disputes.
- Experience identifying and managing potential coverage issues.
- Ability to take ownership while working to tight deadlines.
- Team focused attitude with the proven ability to guide less experienced claims consultants.
