Head of Complex Claims

6 days ago


Melbourne, Australia Open Full time

**About Open**

Say hello to insurance that works wonders. At Open, we’re on a mission to provide the best insurance experiences, at the best price, for the world. Insurance is one of the world’s least digitally mature industries - for years it’s remained confusing, paper-based and heavily intermediated. We launched in 2016 to build a global, AI-powered platform that digitises the entire insurance process, making it transparent, less costly and more reliable.

But the best is yet to come - we plan on doubling growth while expanding to New Zealand and the UK. We also believe in using business as a force for good - Open is Australasia’s only certified B Corp insurance company and as a partner of 1% for the Planet, we donate at least 1% of our revenue every year to charity.

Our team thrive on solving problems to revolutionise insurance and have a ‘no excuses’ attitude when it comes to putting our customers first. We have a high performing team and an open and enabling culture that attracts the best creative and critical thinkers. Join us and let’s build the future of insurance together.

**What you'll do**

We are looking for a Head of Complex Claims to provide, build and shape claim decisioning, which is at the heart of what we do. This role is ideal for a lawyer who is looking to take the leap from private practice into a fast-paced and dynamic work environment, with the ability to use their transferable skills of critical thinking and problem solving in a role that allows them to take ownership in a commercial business. You’ll be leading a growing team and reporting directly into senior management.

This role includes accountability for Liability, Recoveries, Settlements and Investigations. We are looking for an expert who can lead and is able to uplift the capability across all of our claims teams through strong decisioning based on our PDS and insurance laws, process improvement, and coaching. You’ll develop frameworks, make decisions, make sure we manage risk and compliance and problem solve whilst we scale a world class decisioning team. You will initially lead and develop a growing team across these areas:

- Complex claims - We make decisions all the time on whether a claim be covered. Sometimes these decisions are hard and we need to interpret our PDS and insurance laws to come to the right decision. Here we are looking for structured and clear thinking. This extends into fraud and investigations where we need to have the right frameworks to get to the best outcome
- Liabilities - In most claims there is a liability decision (who’s fault was the claim). This team is responsible for making decisions when it gets complicated and we have to stand our ground against other insurers
- Settlements - Where our customer is at fault for a claim, other insurance providers demand funds from us. We need to have the right negotiation tactics to efficiently deal with these demands
- Recoveries - The opposite of settlements, where our customer is not at fault and we need to set ourselves up correctly to demand and recover money from other parties
- Operational Compliance - implementing operational processes and controls to monitor regulatory and statutory requirements

**What you'll bring**
- Previous experience as a lawyer
- A high performer who can add high value and drive impact through a fast paced environment
- Experience as a practising lawyer and/or in the insurance industry is not essential but will be looked at favourably
- Excellent communication, coaching and influencing skills are a must, across all levels including senior management
- Most importantly, we are looking for a ‘can do' attitude - be supported to take on new challenges, develop new practical skills and find new ways to solve complex problems

**Role location**

**Why Open?**

It's an exciting time to join our team and be part of a tech company going through a hyper-growth phase. We provide our team with:

- Highly competitive compensation, including share options - we believe in paying people what they're worth and having everyone in our company share in our success
- High levels of autonomy and trust so you can do your best work
- Growth opportunities internally - as you grow, your role can too
- Flexible working - we are about impact, not time at your desk. We encourage freedom and responsibility, including the ability to work from anywhere
- Annual allowance for professional development - use it towards a gym membership, professional coaching, a conference. Whatever matters most to you

We're proud to be an equal opportunity employer that celebrates diversity and is committed to providing an inclusive environment for all employees.


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