Claims Specialist

1 week ago

Melbourne, Australia Chandler Macleod Full time

This role will report to the
**Manager, Claims Support Services** who is responsible for assisting the Senior Manager - Insurance Services, in the overall management of the insurance and claims function of the Fund. Working as a member of the team, this role is responsible for the handling of Death, Total and Permanent Disability (TPD), Terminal Illness (TI), Permanent Incapacity (PI), Terminal Medical Condition of Release (TMCR) enquiries. The role will also assist claimants/TPA’s with their understanding of the claims process, set the expectation of the process and service they should receive; manage the claim and be an escalation point where their claim does not go as planned or they need further assistance and to restore the claim onto an appropriate course.

**Accountabilities**:

- Central point of contact to assist the organizations’ s Coordinators, Front Counter, Advice and Complaints team and other member facing teams with their enquiries
- Handle enquiries end to end, within service standards, including any follow up with Administrator/Insurer and provide regular progress updates until resolved
- Manage claim escalations, including follow up with Administrator/Insurer and provide regular updates to the Member, until resolved
- Resolve enquiries within the organization’s operational processes, risk appetite, SIS/ATO regulations, Claims Handling and service standards
- Support Insurance Operations brand, by proactively interacting with Workplace Services, Advice and Complaints team
- Maintain detailed and quality claims documentation and interactions on workflow management system
- Maintain high standard of Quality Assurance results to demonstrate risk, processes, regulatory obligations, and compliance measures maintained
- Identify, prepare material, and facilitate focus sessions to assist Workplace Services in their interactions with members
- Attend Workplace Services meeting as required
- Participate in regulatory change and process improvement projects, as directed by the Insurance Leadership team
- Drive a culture of service excellence which focuses on positive claims experience
- Foster positive relationships with external stakeholders, Administrator, and Insurer
- This role may be required to undertake various other related tasks and/or projects as directed by the Manager, Claims Support Services from time to time.

**Key Selection Criteria**:

- Detailed understanding of superannuation regulators and the requirements of organizations complying to Superannuation Industry (Supervision) Act 1994 (Cth) (the ‘SIS’ Act)
- Problem solving capabilities to improve member experience
- Well-developed written and oral communication skills, including strong analytical skills
- Excellent attention to detail
- Demonstrated ability to build and maintain relationships with a variety of stakeholders
- Strong organizational skills including the ability to work under pressure and meet critical deadlines
- Ability to work independently and cooperatively and as a member of a team
- Advanced working knowledge of MS Word, MS Excel, Outlook
- Tertiary qualification in a business-related discipline would be an advantage.

  • Claims Portfolio Manager and Senior Claims Specialists

    2 weeks ago

    Melbourne, Australia Michael Page Australia Full time

    Overview - 3 Month contract with possibility of extension - Two roles available: Claims Portfolio manager and Senior Claims specialist About Our Client This organisation is a medium-sized entity operating in the medical indemnity insurance industry. They are committed to providing tailored risk and insurance solutions, supporting businesses with their...

  • Claim Specialist

    4 days ago

    Melbourne, Australia Suncorp Group Full time

    **Drive Your Career Forward with Suncorp - Become a Motor Claim Specialist!** Are you passionate about delivering exceptional customer service? Do you thrive on helping others in their time of need? Join Suncorp’s Motor Lodgement Team in **Melbourne** and make a real difference every day. We’re currently hiring **both Full-Time and Part-Time Motor Claim...

  • Claims Specialist

    2 days ago

    Melbourne, Victoria, Australia Invisible Partners Full time $90,000 - $120,000 per year

    Invisible Partners is proud to be representing VMIA.VMIA is the Victorian Government's insurer and risk adviser, covering hospitals, schools, emergency services, cultural institutions, and infrastructure. Its purpose is clear and compelling: building a confident, resilient Victoria through world-leading harm prevention and recovery.Working here means more...

  • Early Intervention Specialist

    2 weeks ago

    Melbourne, Victoria, Australia DXC providing claims management services Full time $90,000 - $120,000 per year

    About the roleAs an Early Intervention (EI) Specialist, you will educate employers about the activities they can undertake to facilitate and support a worker's recovery while their claim is being assessed. You will educate employers about the claims process, their obligations, and the strategies that assist employees in getting back to work sooner. The...

  • Car Claims Specialist

    6 days ago

    Melbourne, Australia Open Full time

    **Role** Car Claims Specialist **Team** Customer Operations **Location** 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 Motor Claims Department, working with a carefully selected team of...

  • Specialist, Claims Operations

    6 days ago

    Melbourne, Australia Insurance Australia Group Full time

    **The Role** At IAG, we currently have a Full-Time Permanent opportunity available for a Specialist Liability Claims Administration role to join our team supporting Liability Claims in Melbourne or Perth. The primary purpose of the Specialist Liability Claims role is to provide oversight and supervision of the new Liability Claims Administration Team in the...

  • Claims Specialist, Liability

    2 weeks ago

    Melbourne City Centre, Australia Victorian Managed Insurance Authority Full time

    Claims Specialist - Ongoing Position - Flexible and hybrid working arrangements - Convenient Location in Melbourne CBD About us Victorian Managed Insurance Authority (VMIA) is the Victorian Government's insurer and risk adviser, covering the people and projects that help Victorians thrive. We're an agency in the Department of Treasury and Finance...

  • Claims Specialist

    4 days ago

    Melbourne, Australia Allianz Australia Full time

    **CLAIMS SPECIALIST - WORKERS COMPENSATON I MELBOURNE, VIC** **Want to know how it feels to be genuinely supported to grow and develop your career?** At Allianz, we’re proud to be one of the world’s leading insurance and asset management brands, with a workforce as diverse as the world around us. We care about our customers, which is why we hire the...

  • Claims Specialist, Liability

    2 weeks ago

    Melbourne, Australia Victorian Managed Insurance Authority Full time

    Location: Melbourne | CBD Job type: Full time Organisation: Victorian Managed Insurance Authority **Salary**: Salary not specified Occupation: Insurance and Superannuation Reference: VG/VMIA/IS/1793897 Our Liability Claims Team is growing, and we have two unique opportunities for Claims Specialists to play a pivotal role in ensuring a positive and...

  • Specialist, Liability Claims

    2 days ago

    Melbourne, Australia Insurance Australia Group Full time

    **The Role** We're currently recruiting for a Specialist Liability Claims Consultant to manage high value personal injury and property damage claims under a broad variety of insurance products. This entails managing claims from lodgement through to completion, ensuring an optimum and efficient service to customers, maximising opportunities to ensure claims...