AddressWith a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.
The Claims Handler, Accident and Health is responsible for managing claims across the Accident and Health portfolio including corporate travel and personal accident claims.
The Claims Handler, Accident and Health works closely with rest of the claims team members, and reports to the First Party Claims Manager.
Key Tasks and Responsibilities
Manage end to end case load of Accident and Health claims within specified financial authority limits. This includes Personal Accident and Sickness, Travel, expatriate and inpatriate medical expenses, Journey and Voluntary Workers claims.
Apply legal principles relevant to both coverage and liability considerations to all A&H claims.
Ensure claims are handled in accordance with internal procedures and regulatory requirements (including Lloyd's) and that reserves are entered in accordance with the company's stated reserving philosophy.
The engagement of and provision of instructions to relevant medical experts in accordance with Claims Handling Guidelines.
Develop and maintain positive working relationships with internal and external stakeholders.
Provide wording recommendations to the product team as appropriate with the support of the Senior Claims Handlers and Claims Manager.
Provide support and operational assistance to wider claims team including claims payments, reconciliations, claims histories and file audits.
Suggest and recommend process improvement initiatives.
General responsibilities:
Collaborate effectively with other business units.
Adhere to company's policies, procedures and local guidance as well as to the legislation.
Other reasonable duties as directed by the business, within the scope of the role.
Role Requirements & Skills
Good working knowledge of Insurance Contracts Act and other applicable common and statutory law.
Good knowledge of regulatory and compliance requirements relevant to claims handling.
Analytical skills and good attention to detail.
Excellent organisation and time management skills
Strong interpersonal skills and ability to communicate effectively with internal and external stakeholders at all levels.
Excellent verbal and written communication skills.
Enthusiastic, positive attitude.
Flexibility, ability to multi-task and deliver initiatives within a short timeframe.
Interest in technological solutions to drive the robust management of claims.
Tertiary / Relevant professional qualification (ANZIIF, ALUCA etc).
Tier 2 certification.
3+ years A&H, personal accident, workers compensation or similar claims experience.
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