Senior Claims Consultant - REST
Core
Guide customers through complex Group Life insurance claims, managing portfolios and delivering evidence-based decisions on eligibility and Return to Work plans.
Role type
Senior Claims Consultant (Group Life Insurance)
Builds
Claims outcomes and customer support for life insurance policies
Domain
Insurance / Life Insurance / Claims Management
Deliverable
client delivery
Required skills
Complex claims portfolio management, Policy interpretation, Financial and medical data analysis, Return to Work plan development, Case conference leadership, Stakeholder collaboration, Technical mentoring
Preferred skills
Life Insurance qualifications (Diploma/Cert IV), Business/Health tertiary qualifications
Technologies
Fineos, Genesis, OneNote, Excel
Responsibilities
Manage a portfolio of complex Group Life claims, Interpret policy terms and underwriting decisions to determine claim eligibility, Analyse complex financial and medical information, Develop and monitor Return to Work plans, Lead case conferences, Mentor junior staff
Seniority
Senior, hands-on IC with mentorship responsibilities