Senior Claims Consultant
Core
Guide customers through life insurance claims with care and expertise, managing a portfolio of complex Group Life Insurance claims in accordance with policy terms and regulatory requirements.
Role type
Senior Claims Consultant (Group Life Insurance)
Builds
Claims decisions and Return to Work (RTW) plans for customers, advisers, and trustees
Domain
Insurance (Life Insurance, TPD, Income Protection)
Deliverable
client delivery
Required skills
Complex claims management, policy interpretation, financial and medical data analysis, RTW plan development, stakeholder collaboration, mentoring
Preferred skills
TPD and Income Protection claims experience, familiarity with Fineos/Genesis systems, tertiary qualifications in Business/Health
Technologies
Fineos, Genesis, OneNote, Excel
Responsibilities
Manage a portfolio of complex Group Life Insurance claims; Interpret policy terms and underwriting decisions to determine claim eligibility; Analyse complex financial and medical information; Develop and monitor Return to Work (RTW) plans; Lead case conferences; Mentor junior staff
Seniority
Senior, hands-on IC with mentorship responsibilities