Complex Claim Specialist

4 days ago

Sunshine Coast, Australia Open Full time

**Role**
Complex Claims Specialist

**Department**
Customer Operations

**Location**
Sunshine Coast or Melbourne - Hybrid

**Schedule**
Full-time

**Open Insurance**:
We’re on a mission to provide the best insurance experiences, at the best price, for the world. Come join us

**The team**:
You will join our Technical Claims team, working with a carefully selected team of people who take pride in their decision making and cost control.

**What you’ll do**
- Manage a portfolio of Home and Motor large loss and complex claims
- Investigate complex claims to ensure only valid claims are approved in the fastest possible time
- Manage vulnerable customers
- Ensure that Code of Practice and regulatory requirements are adhered to
- Assist the claims team with decision making on complex matters
- Assist in system update projects by providing feedback on their implementation and functionality
- Continuously review and update processes where required

**What we’d like**
- 4+ years experience in General Insurance with 2 years from a technical background Strong negotiator and understanding of GICOP and Insurance Contracts Act
- You are a complex problem solver and can demonstrate how each part of the insurance value chain impacts each other. You use these skills to work across the organisation to deliver fastest and cheapest insurance
- You can demonstrate complex decision making to minimise leakage
- You set the example by demonstrating what great customer experience looks and feels like, and when faced with tricky situations you’ve got the ability to still reach great outcomes.
- You’ve built on top of your existing skills and now are able to condense and simplify your messages so customers can understand you more easily.
- Even though you’re getting through a lot of work at an efficient pace, you’re able to still make very little errors
- You’re able to escalate less because you’re able to use great judgement in tricky situations
- You embody the Open culture and no excuses strategy, you’re a strong contributor to team culture and live up to our B Corp mission

**Why Open?**
- Highly competitive compensation
- Employee Share options
- Growth opportunities internally
- Flexible working (2 days at home)
- Annual allowance for professional development - use it towards a gym membership, coaching, professional conference
- Annual WFH allowance
- Parental leave top up
- Employee Assistance program
- Payroll giving program and salary sacrifice options
- Certified B-Corp Click here to find out more
- Weekly team lunch, and regular social events
- Great open culture

Find out more about our mission here

  • Ctp Technical Claims Specialist

    7 days ago

    Sunshine Coast, Australia Youi Pty Ltd Full time

    **Purpose of the role** The CTP Technical Claims Specialist oversees Youi’s CTP claims portfolio, ensuring sound technical decisions, compliance with legislation, and best practice in injury claims. Working closely with our third-party provider, the role involves reviewing complex claims, guiding strategy, supporting dispute resolution, coaching staff,...

  • Claims Manager Specialist

    7 days ago

    Central Coast, Australia beBeeClaim Full time $99,038 - $139,938

    Case Manager Specialist RoleThis is a challenging and dynamic role for an experienced Case Manager Specialist. The successful candidate will be responsible for managing a diverse portfolio of claims, ensuring timely resolution and providing excellent support to stakeholders.">Manage complex claims from initial lodgement through to service delivery and...

  • Liability Claim Specialist

    2 weeks ago

    Sunshine Coast, Australia Youi Pty Ltd Full time

    **Purpose of the role** Manage a portfolio of claims from start to finish, delivering evidence-based outcomes while providing exceptional customer service throughout the claims journey. **Key priorities** - Manage a portfolio of liability claims across home, landlord, and SME products - Proactively drive exceptional outcomes and timely claim resolutions -...

  • Sme Claim Specialist

    2 weeks ago

    Sunshine Coast, Australia Youi Pty Ltd Full time

    **Purpose of the role** Manage SME claims end-to-end, using expertise to deliver the best outcomes for intermediated customers. 18 Month Fixed Term Contract. **Key priorities** - Manage 80-100 SME property claims end-to-end. - Achieve timely resolutions and strong financial outcomes. - Investigate and adjust complex claims, primarily property-related. -...

  • SME Claim Specialist

    2 weeks ago

    Sunshine Coast, Australia Youi Insurance Full time $90,000 - $120,000 per year

    Purpose of the roleManage SME claims end-to-end, using expertise to deliver the best outcomes for intermediated customers.18 Month Fixed Term Contract.Key prioritiesManage 80–100 SME property claims end-to-end.Achieve timely resolutions and strong financial outcomes.Investigate and adjust complex claims, primarily property-related.Maintain strong...

  • Major Loss Claim Specialist

    7 days ago

    Sunshine Coast, Australia Youi Pty Ltd Full time

    **Purpose of the role** Manage complex claims end-to-end, using expertise to deliver strong outcomes for intermediated customers. 18 Month Fixed Term Contract. **Key priorities** - Manage 80-100 complex property and SME claims end-to-end. - Ensure timely resolutions and optimal financial outcomes. - Investigate and adjust large, complex claims. - Build...

  • Major Loss Claim Specialist

    2 weeks ago

    Sunshine Coast, Australia Youi Insurance Full time $90,000 - $120,000 per year

    Purpose of the roleManage complex claims end-to-end, using expertise to deliver strong outcomes for intermediated customers.18 Month Fixed Term Contract.Key prioritiesManage 80–100 complex property and SME claims end-to-end.Ensure timely resolutions and optimal financial outcomes.Investigate and adjust large, complex claims.Build strong relationships with...

  • Claims Care Home Large Loss Advisor

    2 weeks ago

    Sunshine Coast, Australia Youi Pty Ltd Full time $60,000 - $90,000 per year

    Join our dynamic team in Home claims, managing a portfolio of building and contents claims from our Sunshine Coast HQ. Your role will be central to Youi's reputation and relationships by playing a crucial role in end-to-end service delivery of claims when our customers need us the most. By being the point of contact for clients and all service providers,...

  • Strata Claims Specialist

    1 week ago

    Gold Coast, Queensland, Australia beBeeClaims Full time $90,000 - $120,000

    Strata Claims Specialist RoleThe Strata Claims Specialist is a crucial position that demands a calm and confident professional to manage site inspections, determine damage causes and extent, engage specialists and trades, and deliver seamless claims experiences for customers.This role suits individuals with loss adjusting/claims/property management...

  • Claims Manager

    7 days ago

    Sunshine Coast, Australia Youi Pty Ltd Full time

    **Purpose of the role** Provide leadership in managing runoff intermediated claims across Home, Landlord, and SME products to deliver optimal, compliant outcomes. 18 Month Fixed Term contract. **Key priorities** - Lead and support a team to meet service and performance targets. - Monitor and report on claims service delivery weekly. - Ensure operational...