Complex Claims Specialist

Job details

Location: NSW - Sydney
Reference: Ad-35599
Posted: about 1 year ago

Job description

NSW leading Workers Compensation provider is looking for a Complex Claims Manager to strengthen their claims function.

The Firm:  

This reputable local outfit are continuing to change the way people think about insurance by protecting over 3.6 million workers across more than 326,000 NSW businesses. They are the largest compensation provider in NSW.  

The Role:  

Process, investigate and resolve level 3 escalated complaints with the intent of offering strategies and solutions to drive sustainable case management practices. Identify potential system failures in agent’s service delivery and proactively recommend solutions to assist with the resolution.  

Make contributions to the development of specific  

business requirements of the RTW Branch and assist to achieve improved scheme results. 

Key Accountabilities: 

  • Process, investigate and resolve written or telephone escalated level 3 complaints pertaining to claims or policies. 

  • Interpret and apply relevant sections of legislation, policy, contract and or other operational guidelines to resolve complaints.  

  • Provide clear consistent guidance to stakeholders by recommending solutions to enable resolution of complaints. 

  • Make judgments and decisions on when to advise management in relation to emerging issues detected during their dealings with Agents and providers. 

  • Resolve problems requiring practical application of knowledge exercising initiative and judgement. 


Let’s talk in more detail on the phone – in the meantime please forward your interests/application to Daniel Elliott -  REF#JN-166441 

This job has expired!