Job Description
9 Sherwood Road, Toowong, QLD, ****, Australia
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Job Category
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Employee Type
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Permanent (PERM)
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0Secondary Hiring Leader - Mari Louise Anderson
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Investigation experience highly desirable
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Demonstrated insurance claims knowledge
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Ability to develop strong relationships at all levels with both internal and external stakeholders coupled with a high level of emotional intelligence.
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Broad ability to drive for results, focus on outcomes and well-developed negotiation skills.
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You will be responsible for.
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Managing a portfolio of complicated or unusual motor claims files.
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End to end management of a portfolio of complex, high value and sensitive claims.
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Reviewing each referred claim for acceptance in line with the ICA, PDS and prior to internal dispute resolution or Ombudsman determination.
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Manage existing claims to provide support to customers within policy entitlements, organisation of repairs & management throughout the claims life.
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Accurate reserving, claims validations, manage claims costs, and negotiate with a variety of stakeholders.
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Identifying and raising potential risks or compliance issues to Management
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Perform detailed review of retained claims and complete a Day-1 review of all claims.
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Stay up to date on regulatory changed in the insurance industry that is relevant.
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Engaging with customers on the phone and via email.
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Reviewing, verifying, and issuing documentation to customer.
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Relationship with the customer through claims processing, claims service and compensation service.
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Build and maintain relationships with internal and external stakeholders such as forensic experts, underwriters, and customer dispute resolution team.
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Seek additional information to validate events.
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Accurately underwrite claims and make determinations on cover.
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Review duty of care application by customer and apply reasonable care assessment as a key part of decision making.
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Liaise with assessing team and suppliers to get the customers back into their pre-claim condition.
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Constantly manage claims towards finalisation.
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Liaising with external stakeholders to coordinate claim finalisation.
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Communicate processes and next steps clearly verbally and/or in writing to customer.
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Make sure customer understand their claim entitlement and the claim process.
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Identify vulnerability experience by the customer and ensure support services offered.
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Effectively listen and understand the needs of the customer and what is significant to them to enable efficient momentum on claims where vulnerability have been identified.
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If required recommend to Team leader to amend BAU process to accommodate vulnerability.
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If required initiate fast-track claim process.
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Provide great customer service whilst remaining rational and emotionally impartial to the outcome.
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Demonstrating excellent motor claimsprocessing skills and experience to benefit the customer and the Technical Motor claimsteam.
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Complies with all applicable regulations related to the Motor product and Technical Motor claims processes.
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Responsible to communicate with customers and other stake holders on claim related matters.
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Be pro-active in supporting your team whilst also working independently.
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Take ownership of their learning and be open to feedback, be solution focused and enjoy new challenges.
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Assist TMC Team Leader and/or Head of Fraud & Claims investigations with additional projects or tasks where required.
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#J-*****-Ljbffr

📌 Senior Motor Claims Consultant - Technical (Queensland)
🏢 Auto & General
📍 Queensland