Claims Advisor

The Role

We have an exciting opportunity for a Claims Advisor to join our CTP claims business. This busy and varied role will see you managing a portfolio of specialised CTP claims from inception, investigating liability, providing reasonable and appropriate treatment and rehabilitation, gathering and analysing medical and financial documentation, assessing the value of the claim and negotiating settlement.

The role involves the investigation, coordination and management of suspected unmeritorious or fraudulent claims and to minimise claims costs and reduce and possible exposure of fraudulent activity. The successful candidate will work to strengthen the investigative skills of the team and to enhance a more stringent claims management process.

What you’ll do

• Proactively manage a portfolio of claims in accordance with legislative, regulatory and procedural guidelines to achieve cost effective and timely claims resolution
• Manage suspected fraudulent clams, when provided with misleading statements, misleading information or exaggerating injuries, including minimal impact and staging fake motor vehicle crashes, intentionally misrepresenting facts, providing false documents or manipulating the claims process for financial gain
• Demonstrate excellent knowledge of investigation practices, preferably or personal injury insurance claims completed to the highest standard
• Utilise analytics, monitoring and investigation techniques to detect fraud in the scheme
• Demonstrate complex investigation and training to enable effective and efficient management of complex claim investigations
• Develop skillsets and expand knowledge through mentoring and attending internal and external training / seminars
• Demonstrates exceptional powers of reasoning in solving problems and deciphering information
• Effectively communicate decisions and negotiate to achieve successful outcomes
• Consulting with internal and external stakeholders to discuss and seek advice in relation to claims and decisions and file direction

What you’ll bring

• At least 3 years’ experience with managing a portfolio of CTP claims
• Tertiary qualifications in business, commerce, law, insurance or related fields - desired
• Proven experience in complex CTP claims investigations
• Investigations related experience and/or studies
• Prior work in the fields of minimal impact and staged accidents, accident investigations and personal injuries compensation will be highly regarded
• Strong negotiation skills and experience in independent advocacy
• Highly developed communication skills, including the ability to consult and liaise effectively with a diverse range of people
• Exceptional problem solving and resolution capabilities
• Ability to interpret complex information and respond by developing appropriate actions

What we can offer you:

Suncorp's employee benefits are designed to support, empower and reward our people. Some of our benefits include:

• Employee discounts and rewards - exclusive offers on more than 400 of Australia’s large retailers including Myer, David Jones, Coles and Woolworths. We also offer discounts across our brands and various products including Suncorp Bank, Suncorp Insurance, AAMI, Shannons, Apia and GIO.
• Study support - We encourage external learning and offer study support to eligible employees, so you can continue to broaden your career opportunities while you work.
• Parental Leave - All permanent employees who are primary carers are offered 20 weeks parental leave.
• Wellness - We offer a wide range of initiatives to promote our employees’ health and financial wellbeing. This includes discounts on major brand health insurance, as well as discounted gym membership plans for our people.

It's worth noting that specific benefits may vary depending on the role, level, and location of the employee. For more on our employee benefits, Click Here

Our Culture

At Suncorp, our purpose has been at the core of our business for over 100 years. To deliver exceptional experiences we’ve had to become even more customer obsessed, innovative and performance driven than ever before.

Delivering on our purpose has always meant putting words into action. Building futures and protecting what matters is why we’re here. Caring for others, being courageous and doing the right thing underpins everything we do.

Chase the sun, apply online today

At Suncorp, we are committed to building futures and protecting what matters. We value the unique experiences, insights and diverse workforce that benefits our people, our business, and our customers. We’d love to see your application and speak with you even if you do not match the above mentioned.