Claims Consultant

Claims Consultant

IF YOU CARE, THERE’S A PLACE FOR YOU HERE

For a career path that is both challenging and rewarding, join Sedgwick’s talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, their customers and their property. At Sedgwick, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.
- Job Description
- Do Something meaningful.- At Sedgwick caring counts_
- Join our Team and help make a difference, where every day taking care of others is at the core of everything we do._
- Are you looking for a job that will take your skills to the next level?- Work for a leading risk solution-based organisation based in over 20 different countries
- Be part of a vibrant and diverse work culture
- +0.5 % on top of required superannuation
- Discounts to several retailers through our employee benefits portal
- Access to continual role and non-role based training and development
- Hybrid working solutions
- Career growth opportunities locally and globally
- CLAIMS CONSULTANT - Full Time- We are currently looking for a Claims Consultant to join the Sedgwick Third Party Administration team based in the Sydney area.- Primary Purpose of the role- Proactive management of a portfolio of claims to accurately determine eligibility and progressing the claim towards a suitable outcome
- Demonstrating an evidence-based approach to establishing an appropriate claim management strategy and the maintenance of accurate claim financial data including claim reserves
- Utilising embedded processes to identify potential fraud indicators and recovery opportunities relating to a claim
- Preparation of detailed and accurate communications to external parties including formulating declinature and/or settlement recommendations
- Handle complaints in a timely and professional manner
- Appropriately engaging and actively managing external suppliers relevant to the product line to aid in the management of complex claims
- Adopting a positive and outcome focused approach to dealing with claimants and being able to identify vulnerable customers and provide appropriate escalation of the same in-line with Sedgwick process
- Maintaining adherence to all SLA and KPI requirements incl. Sedgwick, customer and GICOP principles
- Resolving complaints where appropriate or the escalation of these in-line with Sedgwick complaints handling framework
- Timely and accurate entry of all claim data into relevant claim reporting databases and management information tools-
- About Sedgwick Australia- With 27,000 colleagues around the globe, Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions, specialising in claims management and loss adjusting services.- Our people are as diverse as our products and services and as varied as our clients. We believe that individuals from different backgrounds encourage a challenging team environment, a creative approach to problem-solving and an engaging working environment.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.