Technical Claims Consultant

12 hours ago

Sydney, New South Wales, Australia ClearView Wealth Limited Full time $120,000 - $180,000 per year

*Role Summary This role provides technical guidance and oversight for the claims assessment function, including quality assurance, coaching, and case management. It acts as the claims subject matter expert on product, legislative, and regulatory matters, oversees governance deliverables, claims litigation, and reinsurance audits, and develops guidelines, tools, and training to support operational excellence and staff development.

Key Responsibilities*

  • Conduct monthly and quarterly Quality Assurance reviews, including feedback and reporting for the CV.
  • Provide day-to-day technical support, coaching and mentoring for the Claims Assessment team and internal stakeholders.
  • Manage and deliver weekly case conferences, including reporting and follow-up actions.
  • Oversee ClearView Claims Risk and Governance deliverables (CLCC, Delegation and Competency Frameworks) in conjunction with CV stakeholders.
  • Act as the Claims SME for product, legislative and regulatory changes, including analysis and interpretation of impacts on Claims operations.
  • Develop and maintain Claims guidelines, management tools, correspondence and technical training materials (excluding system processes).
  • Deliver and manage the annual training plan, aligned to the competency and development needs of Claims Assessment staff.
  • Manage and execute reinsurance audit reviews and associated actions.
  • Oversee all Claims Litigation matters.

Secondary Responsibilities****

  • Liaise, interact and build relationships with internal

    and external stakeholders
  • Identify and implement quality assurance and process

    improvement initiatives

Qualifications Required

  • Minimum 5 to 7 years in Retail Life Claims Assessment
  • Tertiary qualifications (TBC Allied Health, Business,

    Accounting, Law)
  • ANZIIF Cert 4 (confirm strategy for Clearview on

    ongoing recruitment requirements)

Why Us? Our benefits:ClearView is an ASX-listed Australian life insurance business. For over a decade we've served our customers with a clear vision: to help Australians and their families achieve peace of mind about their future while being a positive force for our people, partners, customers and community.

Our flat structure offers an innovative culture, where ideas are welcomed, and results are recognised. Join us and you will be joining a group of likeminded, passionate people who turn up every day to share, help and be better than yesterday…togetherValues:Integrity, Collaboration, Authenticity, PersistenceSome Of Our Benefits Include

  • Workplace flexibility - We have a hybrid working model, giving you to opportunity to work from home 2 days per week. This gives you the support you need to help balance your career with the things that make your life rich - such as family, health and doing the things you love.
  • Employee Referral Program - successfully refer a friend and receive $1,000
  • Extended Parental Leave - 16 weeks paid Parental leave cover
  • Additional Leave - We offer up to another full week of paid leave
  • Volunteer Day - 2 days of paid leave to volunteer in the community per year
  • IPAC rewards - an extensive rewards program offering discounts and cash-back deals at over 350+ retailers
  • LinkedIn Learning - Over 6,000 Courses and accreditations available to all staff, 24/7
  • Reward & Recognition Program - Quarterly & Annual Awards celebrating employees and teams who are exceptional in living the ClearView values
  • Staff Discounts - 27.5% discount on ClearView's life insurance product, ClearChoice
  • Study Assistance - ClearView promotes learning and will provide financial assistance for approved learning and time off work to study and complete exams

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