Claims Specialist Melbourne

Deadline: 14 Nov, 2024

Victorian Managed Insurance Authority

Your role

Our Liability Claims Team is growing, and we have a unique opportunity for Claims Specialist to play a pivotal role in ensuring a positive and seamless resolution experience for our clients.

As a Claims Specialist, you are responsible for managing a discrete portfolio of claims (which includes managing abuse claims) that delivers client-focused solutions that build a more resilient Victoria.

You work with a team of claims specialists and claims officers who provide best-practice strategic claims management. VMIA claims management is tailored to the public sector and focuses on efficient, fit-for-purpose recovery solutions for our clients.

The Claims Specialist also plays a key part in educating our clients and building their knowledge of emerging trends and strategies aimed at reducing the level and frequency of claims to heighten their risk management capability.

This role reports to the Liability Claims Portfolio Manager and sits within the Risk, Insurance, and Claims Solutions Division.

What you do

  • You effectively manage your own portfolio of claims. You interpret and apply policy coverage. You establish reserves and review them throughout the life of the claim to ensure accuracy. You assess and quantify claims costs. You negotiate settlement outcomes and identify recovery prospects.
  • You build effective relationships with key legal advisors and/or insurance providers to achieve optimum claims resolution.
  • You work in partnership with appointed legal service providers in all aspects of negotiation, mediation, and litigation or order to manage liabilities and resolve claims in consultation with VMIA clients.
  • You act quickly and efficiently to ensure indemnified claims are resolved.
  • You raise reserves and settle claims within your delegated authority, comply with the processes set out in the Claims Management Manual, and escalate matters as appropriate.
  • You build and maintain effective relationships with clients that maximise the client claims experience. You influence and collaborate with multiple internal and external stakeholders.
  • You actively participate in mediations and other formal and informal settlement forums and lead settlement discussions.
  • You contribute to the innovation and development of products, appropriate coverage, and claims response by identifying trends within the portfolio and work with Underwriters and Risk Advisors to optimise the risk.
  • You participate in various activities identified as contributing to VMIA’s value proposition.

Who you work with

  • You work with the Liability Claims Portfolio Manager, Head of Claims, and claims peers to actively contribute to the development of new and existing claims services, practices, and products to build value to clients.
  • You work across VMIA including Underwriters and Risk Advisors to optimise service and product offerings.
  • You build and maintain effective relationships with third party service providers to obtain optimum claims resolution.

About you

  • You must have previous experience in managing liability claims management either with an insurer, within the public service, or in a legal position.
  • You have a proven track record of successful administration of claims.
  • You have a history of high-quality client/customer service and are empathetic to client needs.
  • You have demonstrated analytical skills and insurance industry acumen.
  • You have highly developed communication, influencing, and negotiation skills.
  • You are resilient with the ability to work under pressure and manage claims in a timely and effective manner.
  • You understand the complexities and nuances of public sector management, with the capacity to operate successfully in such an environment.

There are many reasons to work at VMIA, here is how we will support you:

Flex Work – VMIA is supportive of hybrid working to help our people perform at their best. We come together for a minimum of two days per week in a collaborative office environment, fostering connection and strengthening networks.

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