Senior/Claims Assessors - Life Insurance - Group & Retail opportunities

Senior/Claims Assessors - Life Insurance - Group & Retail opportunities

Job Title: Senior/Claims Assessors - Life Insurance - Group & Retail opportunities
Contract Type: Permanent
Location: Sydney
Reference: 396706
Contact Name: Shane Watson
Contact Email: shane@blakeoliver.com.au
Job Published: May 13, 2020 13:15

Job Description

As part of one of the world’s biggest insurers, new opportunities presently exist for talented, experienced Life insurance claims assessors, whether at assessor or Senior level, to join in either Group or Retail sector orientated roles.
The chance to use your accumulated skills and refine and hone them within one of the biggest and best insurers won’t last long. These roles represent a chance to join and use the excellent resources and learn from "best in class" sector professionals as they support to you to take the next step forward in your career.
Key skills / experience the roles require include:
  • The ability to assess and manage death, terminal illness, trauma, income protection and business expense claims in accordance with the policy conditions, company procedures, service standards and relevant legislation
  • Maintain a professional and consistent approach towards all assessments, whilst operating within the authority levels and procedural guidelines.
  • Review the policy to determine type, validity, date risk commencement, quantum of insured benefit and whether the claim is payable
  • Identify and instruct external medical, legal, vocational and forensic vendors to act on behalf of the company
  • Refer matters to internal underwriters and re-insurance underwriters where non-disclosure or misrepresentation is detected during claims assessment
  • Review re-insurance information to determine percentage of re-insurance on claim and communicate with reinsurer prior to determination on the claim
  • Report claims to, and liaise with re-insurers on the management strategy for each claim
  • Prepare and present declined claims briefs for consideration by the Claims Review Committee
  • Manage the workload of a portfolio of claims and effectively ensure efficient use of time
  • Provide a superior level of service to internal and external stakeholders.
  • Proactively and regularly communicate (written and verbal) with internal and external stakeholders
Qualifications / Experience required:
  • Minimum of 2 years claims experience in a claims assessor role (either disability or lump sum claims management) and a minimum of 5 years to be considered a Senior (with authority levels to match)
  • Degree / DFP/ ANZIIF qualifications highly regarded
  • Familiarity with all risk products, including corporate superannuation
  • Formal training in aspects of financial claims assessment and training in medical terminology or allied health/medical based course
  • Comprehensive knowledge of medical, legal, product and regulatory issues.
  • Comprehensive knowledge of claims management tools (medico/legal, investigative, forensic accounting, vocational assessment, etc) and knows when to utilise and how to properly instruct those service provides
  • Knowledge and understanding of the legal framework surrounding the insurance contract and confidentiality of personal medical and/or financial information of applicants.
  • Good understanding of Insurance Contracts Act and ability to apply it to claims management.
  • Ability to settle cases within defined limits of authority, able to identify and act on opportunities to reach settlement.
Please apply on-line now to be immediately considered or for a confidential conversation around how these roles could be the next step in your impressive career, please call Shane Watson on 0425 264 066.

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