
Claims Executive
- Sydney, NSW
- Permanent
- Full-time
- Collaborating and Partnering for Client Value:
- Establish and maintain excellent working relationships with clients, repairers, assessors and other external stakeholders including insurers
- Ensuring that client interests are protected in claims
- Identifying and escalating suspicious or potentially fraudulent claims for internal review and investigation
- Providing relevant information and feedback on claims and developing trends to underwriters/risk assessors
- Inspiring with Operational Excellence:
- End to end management of insurance claims pursuant to GICOP requirements
- Ensure compliance with relevant statutory guidelines and standards
- Interpreting and making decisions on policy terms, conditions and exclusions up to Delegated Authority amounts
- Escalating claims as needed and working with senior staff to strategically manage difficult and complex claims, with a view of securing best claim outcome
- Respond to all enquiries within Risksmart service-level agreements in place (SLAs)
- Liaising with internal and external stakeholders in an accurate, professional, and courteous manner
- Ensure appropriate information flow to claims stakeholders, ensuring that clients are kept informed of relevant developments and that expectations are well managed both internally and externally.
- Maintaining current knowledge of insurance guidelines, court/AFCA decisions impacting claims functions, and policy changes and modifications
- Satisfying and reaching with new technologies:
- Maintain appropriate product, system and process knowledge
- Attend relevant product and skill courses and passing on relevant points to other staff
- Contribute towards the refinement of processes and procedures to improve systems and procedures
- Sharing Knowledge through Data and Analytics:
- Provide regular status updates and relevant information/advice to clients in a timely and efficient matter
- Liaising with insurers to ensure that claims are settled appropriately and in the most cost-effective manner
- Contribute towards the delivery of claims and accurate claims data
- Attending to regular reporting requirements and management of claims system in accordance with the GICOP and client service-level agreements in place (SLAs)
- Ideally 1-2 years of experience in insurance
- Experience working to deadlines (including GICOP) and within SLA timeframes
- Broad knowledge of insurance industry and claims processes
- Excellent analytical skills
- Strong organisational skills
- Excellent written and verbal communication skills
- Strong customer focus
- Advanced attention to detail
- Ability to build a strong rapport and working relationships with stakeholders
- Strong outcome focus
- Ability to juggle multiple tasks and keep within timeframes to meet customer needs and satisfaction
- We help you be your best through professional development opportunities, interesting work and supportive leaders.
- We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
- Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.