Job Summary 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 Qualifications Previous experience managing Life Insurance claims, retail income protection preferred. 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. Job Accountabilities Manage the workload of a portfolio of claims and effectively ensure efficient use of time. Manage the claims process and stakeholder engagement from assessment to determination. Review information provided and the application for insurance to determine non-disclosure or fraud. Refer matters to Zurich underwriters and re-insurance underwriters where non-disclosure or misrepresentation is detected during claims assessment. Review the policy to determine type, validity, date risk commencement, quantum of insured benefit and whether the claim is payable. Analyse information provided to make a determination in respect of the claim and an appropriate strategy for managing the claim. Review re-insurance information to determine percentage of re-insurance on claim and communicate with reinsurer prior to determination on the claim. Identify and instruct external medical, legal, vocational and forensic vendors to act on Zurich’s behalf. Maintain files notes of actions taken, and conversations had, in respect of claims and data entry on various systems including Excel, Independent Management Plans, Life 3, Access date bases Seek advice and recommendations of the Claims Manager or Senior Claims Assessors Prepare and present declined claims briefs for consideration by the Claims Review Committee. Identify and implement system, process and procedural improvements within the team. Support claims administrators to develop their knowledge and skills across the claims management process to improve delivery and efficiencies. Business Accountabilities Provide a superior level of service to internal and external stakeholders. Proactively and regularly communicate (written and verbal) with internal and external stakeholders. Develop and maintain positive and collaborative working relationships with colleagues and external suppliers. Maintain a professional and consistent approach towards all assessments, whilst operating within the authority levels and procedural guidelines. To reduce operational costs through more efficient work practices. You are the heart & soul of Zurich! Together we are committed to delivering on our purpose - Let’s Create a Brighter Future Together! We highly value the experience and know-how of our employees and offer a wide range of opportunities across business areas. You can expect to work on challenges that will help you grow and to collaborate with a diverse and inclusive team. People are Zurich’s most important asset. Their varied skills, perspectives and experiences drive innovation. And they reflect the breadth and diversity of our customers, suppliers, communities and investors around the world. We are committed to attracting and retaining talented individuals from a variety of backgrounds and experiences. Zurich does not discriminate based on race, ethnicity, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Location(s): AU - North Sydney Remote working: Schedule: Full Time Recruiter name: Nicole Pemberton Closing date:
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