Job Description

Claims Specialist

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Department: Claims

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Employment Type: Permanent - Full Time

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Location: AU - Melbourne

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Reporting To: Margaret Murphy

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Description

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Are you an emerging insurance professional with a keen eye for detail and a passion for learning? We are seeking a detail-oriented and proactive Claims Specialist to join our growing Claims team based in Melbourne.

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About the role

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An experienced claims professional is required to further strengthen CFC's Claims Team and to ensure that CFC continues to deliver a high-quality claims service to policyholders, brokers, underwriters and capacity providers. We are seeking a conscientious and hardworking claims professional with experience in D&O; and E&O; claims.

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This role will work with colleagues in CFC's office in London, and Incident Response team, along with a number of incident response vendors including forensic, legal, and PR ensure that CFC delivers a cost effective, but high quality response to our Insureds.

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The role will also involve working with Underwriting, Finance, IT and Products teams whilst being subject to all relevant legal and statutory (ASIC and Lloyd's) requirements and obligations.

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Key Responsibilities

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- Proactively handle a cross-section of claims including professional liability, management liability, D&O; and E&O; claims on behalf of CFC from first notification of loss to settlement. You will also handle claims, as necessary, on behalf of CFC Claims Australia as a TPA to CFCU (surplus lines).
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- Foster good relationships with policyholders, brokers, underwriters and capacity providers, and drive excellent customer service.
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- Actively work with a panel of response vendors during claims incidents.
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- Ensure that there is prompt and accurate reserving, identifying and pursuing relevant third party recoveries and seeking to reduce claims leakage.
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- The ability to prioritise where necessary, identifying deadlines such as those stipulated within lawsuits, demand letters and in addressing claims queries.
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- Work closely with CFC's panel of service providers to ensure a quality and value for money service is provided/received within required timeframes.
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- General claims administrative duties such as electronic file management filing and payment requests, and the production of management information.
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- Working closely with underwriters providing feedback on claims issues/trends and the Products team concerning the development of CFC's products and wordings.
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- Identify and elevate claims related issues to Claims Manager and Claims Director where necessary.
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Skills, Knowledge & Expertise

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- Minimum of 3 years' experience of handling claims.
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- Good understanding of insurance policy wordings – policies a particular advantage.
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- Experienced at working with incident response vendors, in particular legal and forensic providers.
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- Positive computer skills (including Microsoft Outlook, Word & Excel), and use of ECF an advantage.
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- Experienced at dealing with external stakeholders in a customer service or consultancy environment
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- Excellent communication skills and capable of credibly speaking to clients and partners and the value CFC's products and services provide in responding to them.
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- Positive and enthusiastic attitude.
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📌 Claims Specialist (Victoria)
🏢 CFC
📍 Victoria