Claims Manager Job Description
As a Claims Manager at our company, you will play a pivotal role in driving the digital transformation journey.
* Proactively manage and assess claims end-to-end by developing and implementing case management strategies to drive sustainable outcomes and customer expectations.
* Deliver high-quality service by communicating with empathy, clarity, and professionalism, providing timely updates and transparent decisions.
* Delegation of Authority (DA): Currently holds DA with consistent pass QA outcomes in their portfolio.
* Risk Management: Drives and adheres to all claims-related regulatory and compliance requirements, recognising, categorising, and prioritising claims according to business needs and stakeholder expectations.
* Collaboration/Culture: Work collaboratively with stakeholders to establish and maintain relationships, drive an inclusive workplace culture, and contribute positively to team culture.
Key Responsibilities:
1. Technical Expertise: Proactively manage and assess claims end-to-end, develop and implement case management strategies to drive sustainable outcomes and customer expectations.
2. Customer Experience and Communication: Deliver high-quality service by communicating with empathy, clarity, and professionalism, providing timely updates and transparent decisions.
3. Delegation of Authority (DA): Currently holds DA with consistent pass QA outcomes in their portfolio.
4. Risk Management: Drives and adheres to all claims-related regulatory and compliance requirements, recognising, categorising, and prioritising claims according to business needs and Fund partner expectations.
5. Collaboration/Culture: Work collaboratively with stakeholders to establish and maintain relationships, drive an inclusive workplace culture, and contribute positively to team culture.
Requirements:
* 3+ years' experience managing life insurance claims in a Group Insurance environment.
* Currently holds DA across all Group product lines.
* Sound understanding of relevant legislation, policy definitions, and the claims assessment process.
* Proven ability to interpret complex information and make evidence-based decisions.
Benefits:
* Generous paid parental leave.
* Market-leading menopause and fertility leave.
* Car leasing.
* Employee Assistance Program (EAP).
* Access to 360Health medical support.
* Volunteer leave.
* Study assistance.
We demonstrate holistic care and wellbeing for employees with benefits and programs that address physical, mental, social, and financial health.