Complex Claim Specialist

1 week 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

  • Employee Relations Specialist

    4 days ago

    Sunshine Coast, Australia Youi Pty Ltd Full time

    **Employee Relations Specialist** **About the role** We are seeking an experienced Employee Relations Specialist to join Youi on a **_9-month fixed-term contract_**. In this role, you will provide expert guidance and practical solutions for managing employee relations (ER) across the business, working closely with People & Culture (P&C) and business...

  • Claims Officer

    6 days ago

    Gold Coast, Queensland, Australia City of Gold Coast Full time $60,000 - $100,000 per year

    About The TeamThe Insurance Services Branch manages The City's Insurance portfolio consisting of General Insurance and Workers' Compensation. The General Insurance unit handles the City's Industrial Special Risks, Motor Vehicle, Public Liability, Professional Indemnity, Councillors' & Officers', Employment Practices Liability, and Contract Work's...

  • Senior specialist medical receptionist

    4 days ago

    Sunshine Coast, Australia Sunshine Coast General Surgeons Full time $60,000 - $80,000 per year

    About the role We are seeking a highly organised and experienced Senior Specialist Medical Receptionist to join our team at Sunshine Coast General Surgeons' in Birtinya, Queensland. This is a part-time or full-time opportunity to work in a dynamic and supportive medical practice environment. As a Senior Specialist Medical Receptionist, you will play a vital...

  • Claims Consultant

    1 week ago

    Gold Coast, Australia HUB24 Group Full time

    HUB24 leads the wealth industry as the best provider of integrated platform, technology and data solutions. At HUB24, we know the smartest investments start with our people. We are innovative and ambitious, and we move fast. At HUB24, we empower our employees to bring their ideas and creativity to work. Rather than getting bogged down in bureaucracy and red...

  • SEO Specialist

    4 days ago

    Sunshine Coast, Australia Darcy Bookkeeping & Business Services Full time

    Who? We are a national bookkeeping and accounting service provider with a very strong online presence. We have been in business for 12 years and looking forward to an even better 12 years ahead. What? We are looking for a part time 20 - 25 hours per week, talented SEO Specialist to be responsible for driving our SEO strategy to improve organic performance...

  • Litigation Advisor

    2 weeks ago

    Sunshine Coast, Australia Youi Pty Ltd Full time

    At Youi, we pride ourselves on being different. We believe in a more human approach and know that our people and awesome service are the key to our success. With over 1,800 people across 3 countries, Youi is a dynamic business that since its inception in 2008, has set itself apart from the rest. Fourteen years on, we’ve assembled an incredible team and...

  • Whs Specialist

    1 week ago

    Sunshine Coast, Australia Youi Pty Ltd Full time

    **About Youi** At Youi, we don't believe in conforming to the status quo. We're not your typical insurance company - and that goes for our approach to both selling insurance and hiring our team. With over 1,800 employees, we have ambitious goals to keep growing and continue delivering awesome insurance solutions across new products and distribution...

  • Program Manager, Claims System Modernisation

    2 days ago

    South West Coast VIC, Australia WorkSafe Victoria Full time $120,000 - $180,000 per year

    WorkSafe is Victoria's workplace health and safety regulator. We are also the workplace injury insurer. Our job is to reduce workplace harm and improve outcomes for injured workers. This is our promise to the Victorian community and the reason we exist.Program Manager, Claims Systems ModernisationSignificant Senior Leadership role within WorkSafe...

  • Supervisor Support

    6 days ago

    Sunshine Coast, Australia Ambrose Construct Group Pty Ltd Full time $90,000 - $120,000 per year

    Ambrose Construct Group are a nationwide industry leader in insurance building repairs. We pride ourselves on providing unrivalled Customer Satisfaction and Quality Workmanship on each and every repair we conduct. As part of our continued growth, we are seeking an experienced Supervisor Support to join our Sunshine Coast team. This role is designed to...

  • Internal Controls Specialist

    2 days ago

    Sunshine Coast, Australia Kilcoy Global Foods Full time

    **ABOUT US** As a rapidly growing world-class organisation with a global footprint spanning every step of the food journey - join us to create food the world loves to eat! Our people are innovative, with a diversity of expertise, working together with our customers to create value at every opportunity. We are constantly looking for problem solvers who...