Job Description
Ensure claim work items are completed within agreed SLAs and communicate any potential SLA risks ahead of time for corrective action to take place
Claims Case Management: Accountable for accurate management of own claim portfolio, ensuring compliance with SLAs, and adherence to business rules, life code, SIS Act and super code regulations.
Team Quality Assurance – Perform quality assurance tasks and conduct end-to-end claim reviews to ensure proficient and accurate case management within the team. Take ownership of providing coaching to administrators to address any identified quality gaps.
Incident Management - Ensure incidents are reported within SLA timeframes to your leader and when requested assist with incident remediation
Complex enquiries - Take ownership of complex enquiries raised both internally and externally (client and/or insurer) , ensuring they are answered within agreed SLA’s
Standard Operating Procedures (SOPs)- Provide subject matter expert (SME) input for SOPs and ensure all SOP actions are completed within agreed timeframes.
Complaint management – When requested, provide support in complaint management activities with internal and external stakeholders related to Insurance Claims and RG271
Training Facilitation - Collaborate with our training and development team to facilitate and/or support training sessions for the claims administration team. Take ownership of ensuring that all training sessions are effectively planned, organized and delivered to meet the team's learning objectives
Subject Matter Expert (SME) and Team Leader (TL) Support - Offer SME expertise to team administrators on complex issues, projects, or tasks and support your TL by completing any tasks that will help reduce claims duration, optimize the quality of our claim decisions and enhance the member claim service experience.
Why you’ll love working at GROW
Growth Opportunities - last year over 20% of our team stepped up through promotion.
ME Days - Take an additional 3 days of leave off per year for wellness!
Birthday Leave - Take an extra day off per year on your birthday!
Employee Share Option Program - our success is your success!
Parental Leave – we provide 10 weeks and support growing families by covering Superannuation contributions for the Primary Caregiver (regardless of gender)!
Community give back days - organised by us!
Learning & Development Budget - up to $500 per year to use on your own development!
Hybrid Work Arrangement - We have a true hybrid arrangement!
Looking for a job can be stressful and we don’t want you agonising over the wording of your cover letter, so don’t include one. Just make sure your CV is well-written and detailed enough so we can get a better idea of the type of person you are. Even if you don’t meet every single requirement, but you feel inspired to join our mission, we encourage you to send in your application. You never know, you could be the perfect person to join our team!
We are a Circle Back Initiative Employer – we commit to respond to every applicant
Claims Case Management: Accountable for accurate management of own claim portfolio, ensuring compliance with SLAs, and adherence to business rules, life code, SIS Act and super code regulations.
Team Quality Assurance – Perform quality assurance tasks and conduct end-to-end claim reviews to ensure proficient and accurate case management within the team. Take ownership of providing coaching to administrators to address any identified quality gaps.
Incident Management - Ensure incidents are reported within SLA timeframes to your leader and when requested assist with incident remediation
Complex enquiries - Take ownership of complex enquiries raised both internally and externally (client and/or insurer) , ensuring they are answered within agreed SLA’s
Standard Operating Procedures (SOPs)- Provide subject matter expert (SME) input for SOPs and ensure all SOP actions are completed within agreed timeframes.
Complaint management – When requested, provide support in complaint management activities with internal and external stakeholders related to Insurance Claims and RG271
Training Facilitation - Collaborate with our training and development team to facilitate and/or support training sessions for the claims administration team. Take ownership of ensuring that all training sessions are effectively planned, organized and delivered to meet the team's learning objectives
Subject Matter Expert (SME) and Team Leader (TL) Support - Offer SME expertise to team administrators on complex issues, projects, or tasks and support your TL by completing any tasks that will help reduce claims duration, optimize the quality of our claim decisions and enhance the member claim service experience.
Why you’ll love working at GROW
Growth Opportunities - last year over 20% of our team stepped up through promotion.
ME Days - Take an additional 3 days of leave off per year for wellness!
Birthday Leave - Take an extra day off per year on your birthday!
Employee Share Option Program - our success is your success!
Parental Leave – we provide 10 weeks and support growing families by covering Superannuation contributions for the Primary Caregiver (regardless of gender)!
Community give back days - organised by us!
Learning & Development Budget - up to $500 per year to use on your own development!
Hybrid Work Arrangement - We have a true hybrid arrangement!
Looking for a job can be stressful and we don’t want you agonising over the wording of your cover letter, so don’t include one. Just make sure your CV is well-written and detailed enough so we can get a better idea of the type of person you are. Even if you don’t meet every single requirement, but you feel inspired to join our mission, we encourage you to send in your application. You never know, you could be the perfect person to join our team!
We are a Circle Back Initiative Employer – we commit to respond to every applicant
💡 Quick Summary
Seeking a career-building opportunity? The Claims Specialist position is now open for candidates interested in the Legal Jobs sector. This role in Melbourne offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Legal Jobs is a plus.
