Reinsurance Claims Officer

**ARPC Position Description**

**Function**:Reinsurance Claims Assessment
and Audit

**Classification broadband**:ARPC 5

**Location**:Sydney **Security clearance**:Baseline

**Role Reports to **(role title)**:Executive Manager Claims Assessment and Audit (EMCAA)

**Direct Reports **(role titles)**:Nil

**Purpose of the role **(Why the role exists; how the role contributes to the ARPC’s strategic objectives)
services in accordance with ARPC’s Claims Policies and Procedures and supporting the Insurer Customer
claims audit program of work.

**Key Accountabilities** (Key activities, tasks, and outcomes to be achieved)
- ***

Claims Administration
- ***
- Understand ARPC’s claims policies and processes.- Provide of an efficient and effective claims service in accordance with ARPS’s established policies and

procedures. Receive, validate, record and process incoming reinsurance claims in accordance with pre
- established service level guidelines.
- Maintain data integrity within ARPC’s claims management system.
- Raise questions escalate issues with the EMCAA where ambiguities or unusual situations arise.
- Ensure that all claim’s related matters are dealt within the timeframes set out by ARPC’s service level
- agreement.- Identify suspicious or potentially fraudulent claims and notify the EMCAA.
- Arrange investigation and liaise with legal counsel if further action needs to be taken.
- Ensure the claims system is kept up to date with all claims activity, in accordance with established
- processes and procedures.- Provide reports as required regarding claims activity.
- Assist in the understanding of claims process issues and risks, recommend, and implement changes
- based on identified inefficiencies.
- Other- Assist the Chief Claims and Customer Officer, Executive Manager Claims Assessment and Audit and

other members of the Claims and Customer team with onboarding of new Insurer Customers and as
required.
- Role model ARPC’s Values and Code of Conduct and Capabilities set out in the ARPC’s Capability

Framework
- Maintain knowledge of insurance/reinsurance industry and trends

***

**Working Relationships **(Key stakeholders, clients, customers, suppliers, providers, consultants, etc.)***

Internal Relationships
- Build and maintain strong relationships across ARPC

External Relationships
- Build and maintain strong relationships with vendors and partners.
- Building strong relationship and provide excellent service to Insurer Customers

**Person specification**

**Qualifications and experience**

**Qualifications **(indicate whether mandatory or desired)
- Tertiary qualification _Desired_

**Experience **(minimum type and level of experience required to perform the role)
- At least 3 years’ experience in claims administration in the Insurance Industry _Mandatory_
- Some knowledge of Reinsurance _Desired_

**Regulatory Responsibilities**

**Public Interest Disclosure Act 2013 (PID Act)**
- ARPC staff must assist the ARPC CEO (or delegate) and/ or the Commonwealth Ombudsman in the

conduct of a PID investigation.

**Privacy Act 1988**
- ARPC staff must adhere to the Australian Privacy Principles and the ARPC Privacy Policy and report

any privacy breaches by any employee or contractor to the Privacy Officer (CFO) and/ c Privacy
Champion (COO) as soon as they become aware of them.

**Freedom of Information Act 1982 (FOI Act)**
- ARPC staff are responsible for notifying and supporting the Information Public Scheme (IPS) Team to
- ensure published website Information is accurate, up‑to‑date and complete.- ARPC ‘owners’ of website content are required to review content on their page(s) at least annually.

**Technical Capabilities **(skills, knowledge, technical or specialist capabilities)
- Broad knowledge of insurance/reinsurance industry and general insurance claims processes
- Sound analytical skills
- Sound knowledge of office suite including Word, PPT and excel.
- Sound written and verbal communication skills.
- Strong interpersonal skills with the ability to effectively negotiate and influence.
- Customer service focused with an ability to build strong relationships with various stakeholders.
- Excellent commercial judgement

***
- Astute attention to detail
- Courteous assertiveness

**Authorities Limits/ Type**

Financial Delegations: As per ARPC Financial Delegations

HR Delegations: As per ARPC Enterprise Agreement

Declared Terrorist Incident (DTI): As per ARPC DTI Response Procedure

**Additional requirements
**ARPC Values**
- Delivering for our stakeholders
- Personal leadership
- Collaboration
- Integrity
- Wellbeing

**ARPC Capabilities (Integrated Leadership System)**
ARPC Capabilities describe behavioural expectations for all employees, by classification broadband.
- Shapes strategic thinking
- Achieves results.
- Supports/cultivates productive working relationships.
- Exemplifies personal drive and integrity.
- Communicates with influence