Principal Claims Consultant

1 week ago

Sydney, New South Wales, Australia B & K Consulting Full time

**The Client**

We are currently working exclusively with a prestigious, well-respected leading Life Insurer who has both the stability of an established financial entity dating back to late 19th Century, and the feel of an energetic "mature start-up", which is a great mix to have in a business. Further, they are backed by one of APAC's largest Insurance companies, and they pride themselves on delivering exceptional service and products to their customers, across a multitude of insurance channels.

They are a trusted financial partner to millions of Australians across both the Retail, and Group Life, insurance industries.

**The Role**

This role exists to provide high-level technical expertise and coaching to a team of specialised Case Management professionals providing oversight and guidance on the management of complex income protection claims.

You will help to assist in the identification of claims requiring clarification and potential investigation, inconsistencies or inaccuracies in evidence requiring an in-depth review of the claim(s), and the over-arching case management process.

The actual claim investigation and gathering of evidence also requires a sound understanding of the relevant legal test in the policy, and will require strong analytical skills, and a strategic mindset.

**Accountabilities will include;**
- Provide oversight and manage a complex portfolio of Income Protection Claims to ensure the customer experience is aligned with our clients claims philosophy.
- Build rapport with customers over the phone by maintaining regular contact, identifying appropriate added support services, and liaising with the Recovery Specialists to support customers
- Manage all stakeholders expectations to support a seamless customer experience.
- Assess claims against policy terms and explain complex decisions with logical and clear rationale
- Instruct third parties to provide claim assessment support as appropriate to the claim situation and use claim providers in line with an appropriate cost benefit analysis.
- Manage claims within appropriate risk and governance frameworks
- Coach and mentor the team in support of the Team Manager
- Provide honest and constructive feedback to case managers, and help to upskill where necessary
- Ensure sound technical claims oversight to influence the duration of each claim
- Maintain strong working relationships and interactions and ensure each claim has the right level of oversight and expertise

**Required experience**:

- 12-15+ years of insurance claims experience, including knowledge of legislation and regulations affecting the life insurance industry, in particular, LICOP and LICOPv2 (essential)
- Expert in complex Income Protection claims assessment, analysis and complex strategy (essential)
- Cert IV Life Insurance Accreditation (essential)
- Australian Insurance Institute (desirable)
- Tertiary qualifications (desirable)

**Note**:

  • Motor Claims Consultant

    1 week ago

    Sydney, New South Wales, Australia Advent Claims Australia PL Full time

    **About Us**Advent Claims Australia is a trusted **Third Party Authority (TPA)** representing one of the world's leading vehicle fleet organisations. As we enter an exciting growth phase, we are seeking a motivated and experienced **Motor Recovery / Settlements Specialist** to join our friendly, professional team in Sydney's CBD.**What We Offer**-...

  • Motor Claims Consultant

    19 hours ago

    Sydney, New South Wales, Australia Advent Claims Australia PL Full time $537,777 - $8,914,163 per year

    About UsAdvent Claims Australia is a trusted Third Party Authority (TPA) representing one of the world's leading vehicle fleet organisations. As we enter an exciting growth phase, we are seeking a motivated and experienced Motor Recovery / Settlements Specialist to join our friendly, professional team in Sydney's CBD.What We OfferCompetitive remuneration...

  • Principal Claims Manager

    1 week ago

    Sydney, New South Wales, Australia Australian Retirement Trust Full time

    **A fantastic opportunity exists to join our Claims team as a Principal Claims Manager We now have multiple permanent vacancies.****Why join us?**- State of the Art brand new office with outstanding views of Sydney Harbour, end of trip facilities, wellness room, food & beverage offering, lounge areas and much more to encourage collaborative culture.- A...

  • Claims Consultant

    1 week ago

    Sydney, New South Wales, Australia Crawford & Company Full time

    Join to apply for the Claims Consultant (Strata) role at Crawford & Company1 day ago Be among the first 25 applicantsJoin to apply for the Claims Consultant (Strata) role at Crawford & CompanyJoin a national team with a great culturePermanent full-time opportunityHybrid working arrangementsJoin a national team with a great cultureAbout Our CultureAt...

  • Claims Consultant

    1 week ago

    Sydney, New South Wales, Australia Clearview Full time

    We will provide you with mentoring support, tools and resources to grow your career in the Claims.The role is hybrid (3 days per week in the office).**About the company**:ClearView Wealth Limited is a dynamic ASX listed diversified financial company that partners with financial advisers to support Australians to achieve their financial and wellbeing goals...

  • Claims Consultant

    6 days ago

    Sydney, New South Wales, Australia Claim Central Group Full time

    Claims Consultant (remote)The growth of Hello Claims has created exciting opportunities for Claims Consultants / Specialists to join our growing team. In return for your commitment, we provide an amazing culture of collaboration and high performance, a place you will learn, grow and enjoy coming to work each day.Hello Claims has delivered a 'First to Market...

  • Claims Consultant

    1 week ago

    Sydney, New South Wales, Australia Tal Full time

    **Job Description** Foundation Team Claims Consultant**- Join Australia's No.1 Life Insurer, TAL- We are investing in the Claims Consultants of the future- Unique opportunity to build your career in Life Insurance- Paying claims is the most important thing we do._We recognise that when our customers come to us with a claim, they're setting out in a direction...

  • Claims Consultant

    2 weeks ago

    Sydney, New South Wales, Australia Marsh McLennan Full time

    Join to apply for the Claims Consultant role at Marsh McLennan1 day ago Be among the first 25 applicantsJoin to apply for the Claims Consultant role at Marsh McLennanWe are seeking a candidate to join our Public Sector claims team at Marsh Australia in the role of Claims Consultant. This role will be based in our Sydney office. This is a hybrid role that has...

  • Claims Consultant

    2 weeks ago

    Sydney, New South Wales, Australia Marsh Full time

    Join to apply for the Claims Consultant role at Marsh5 days ago Be among the first 25 applicantsJoin to apply for the Claims Consultant role at MarshGet AI-powered advice on this job and more exclusive features.This range is provided by Marsh. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.Base pay...

  • Claims Consultant

    2 weeks ago

    Sydney, New South Wales, Australia Marsh Full time

    Join to apply for the Claims Consultant role at Marsh5 days ago Be among the first 25 applicantsJoin to apply for the Claims Consultant role at MarshGet AI-powered advice on this job and more exclusive features.This range is provided by Marsh. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.Base pay...