Welcome to a role where you can make a meaningful impact on people's lives. We are seeking a highly skilled Claims Consultant to join our team.
Job Description
This is a challenging and rewarding role that requires the end-to-end management of complex medical and loss of income insurance claims. You will be responsible for supporting individuals through serious illness, injury, or psychological distress.
* Manage end-to-end complex medical and loss of income claims.
* Determine and maintain claim reserves in accordance with actuarial principles, policy terms, and regulatory expectations.
* Resolve complaints and escalations using conflict resolution skills.
* Provide support to vulnerable customers with mental health challenges, financial hardship, or language/cultural barriers.
About the Role
* Experience working with mental health, injury, and chronic illness-related claims is essential.
* You must have a strong understanding of loss of income calculations, including offsets, waiting periods, benefit caps, and pre-disability earnings.
* Proficiency in working with vulnerable customers is crucial.
* Demonstrated skill in complaints handling and de-escalation techniques is required.
* You will need to liaise with medical professionals, clients, employers, brokers, and other stakeholders.
Benefits
We offer a range of benefits to support your career growth and well-being.
* Hybrid working arrangement.
* Sedgwick Australia University – access to over 15,000 courses on demand and opportunities to continue formal education.
* Competitive salary and superannuation guarantee.
* Domestic and International Career Pathways.
* Sedgwick Colleague Resource Groups – international, cross-functional, colleague-led groups aimed at fostering an inclusive workplace.
About Us
We are a global leader in claims administration, loss adjusting, benefits administration, and product recall. Our team is passionate about helping our clients through difficult times.
We are committed to fair and accessible recruitment and recognize the value of diversity in the workplace. If you require special accommodations, please let us know when applying.