Opportunities

COMPLEX CLAIMS SPECIALIST

Salary

$110K-140K

Location

Melbourne
Victoria

Working pattern

Full Time

Job Category

Claims

About the role

Are you looking for a new challenge? The next step in your career? We are looking for an experienced claims professional to join a reputable insurance broker located in the inner South East. Stunning offices, close to public transport, and offering an excellent culture and employee benefits.

As the Complex Claims Specialist, you will be responsible for providing specialised technical expertise in the day to day handling of complex claims on behalf of clients.

BENEFITS

  • 3 / 2 Hybrid working Office/Home
  • Wellness initiatives
  • Additional annual leave on birthday
  • All employees have access to incentive / bonus scheme
  • Monthly, catered lunch and learns
  • Employee Assistance Programme
  • Social programme
  • Ongoing learning and development programmes

 

 

 

Key responsibilities

  • Proactively manage own portfolio of complex claims from notification to closure, investing the necessary level of involvement required for each claim
  • Regular reviews of individual claims within the portfolio and keep all records up to date as per policies and procedures
  • Building strong relationships with underwriters and provide input on any claims issues or trends and improvements where necessary
  • Building strong relationships with broking and claims team and assist with technical advice on claims handling, policy coverage and policy interpretations
  • Key point of contact and advise on all complex claims
  • Review of all incoming declines in conjunction with the claims team members to guide on next steps
  • Assist Team Leader in claims reporting at monthly business meetings and discussing any trends or concerns
  • Assisting team (Broking and Claims Team) with claims reviews, policy interpretations so as to achieve the best outcome for clients
  • Review and handling of indemnity disputes/declinatures and drafting submissions to insurers to achieve best possible outcomes for clients
  • Assisting clients with IDR and AFCA when indicated and required
  • Mentor and upskill claims team in complex claims handling and dispute resolution
  • Take a lead role in implementing initiatives/changes to help achieve claims strategy and develop a high performance cultur

Key skills and experience

ABOUT YOU

You will have sound knowledge across claims management, and strong technical skills across general insurance, including Liability, PI, Construction, ML) gained either through a Broking and/or Underwriting operation.

As well as the above, you will have:

  • Tertiary qualification in a business related discipline / Legal (preferable but not essential)
  • Experience in negotiating favourable claims settlements for client
  • Experience in reviewing and managing indemnity disputes and claims declinatures across all classes of insurance, broader experience in liability or PI required
  • Experience in interpreting and applying policy wordings
  • Experience in identifying potential coverage challenges and escalating for review
  • Experience in managing IDR and AFCA disputes (preferably but not essential)
  • Sound analytical and problem solving skills
  • Excellent verbal and written skills
  • Good communicator
  • Attention to detail
  • Competent in Microsoft Office programs – Word, Excel, and Outlook

If this sounds like your next opportunity and you would like to know more, please contact Stephanie Blewett on 0411 915 873, steph@paragonrecruitment.com.au or apply through the link.

Stephanie Blewett

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Application for role

Please complete the form below and we will contact you if your application is successful

Stephanie Blewett

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