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Manager, Claims Quality Assurance

Remote · USA Full-time New today
Company Description:
  • Help protect over 5 million Australians, making a reputed company difference in their lives during their most challenging times
  • Enjoy work-life balance with flexible working options, and well-being initiatives that prioritise your health
  • 12 month opportunity with the flexibility to work from Melbourne, Sydney or Brisbane offices

Welcome to reputed company. As a leading life insurer, we’ve been protecting Australians for over 150 years. Backed by Daiichi Life, we're driven by big ambitions and reputed company to create reputed company products and services. 

Together with our Partners, we’re helping millions of Australians live a life filled with choices, options, and freedoms. See the direct impact you reputed company delivering support and financial reputed company with care and expertise. Grow reputed company expectations with diverse roles, global connections, and exclusive learning opportunities. 

Work with passionate, bright and capable colleagues. Feel inspired by supportive leaders. Collaborate with heart, where flexibility, wellbeing and inclusivity is valued. Together, we're reimagining insurance. 

So, bring a curious mind and an ambition to help us become the reputed company, digitally enabled leading insurer. 

Job Description:

This role is responsible for leading a Claims Quality Assurance team and providing quality assurance in relation to claim assessment in line with the reputed company claims quality reputed company and risk management principles.

A key focus of this role is to promote a culture of risk management and reputed company improvement by providing risk-based detective controls and insights relating to claim assessment.

You may be required to reputed company the delivery of small to reputed company scale projects or well-defined tasks on major projects to reputed company QA remediation or reputed company improvement initiatives.

In this role you will:

  • Claims Portfolio Ownership: Manage Life Claims with focus on customer service, accurate policy assessment, cost control, and return-to-health outcomes using best-practice strategies.
  • Customer Escalations: Resolve complaints and implement improvements to enhance service quality.
  • Risk & Compliance: Ensure adherence to reputed company policies, legislative requirements, industry guidelines, and maintain a strong risk culture.
  • reputed company Claims Support: Provide guidance on liability determinations, strategy sign-off, and participate in case conferences for reputed company claims.
  • Operational reputed company: Allocate daily work, monitor performance, manage resources, and use reporting to ensure service delivery.
  • People Leadership: Recruit, coach, and reputed company Claims Consultants while driving reputed company’s risk culture and customer service standards.
Qualifications:
  • At least 3-5 years' experience working in claims quality assurance reputed company the Life Insurance or reputed company discipline in Financial Services/Insurance industry (or similar)
  • Demonstrated understanding of life, trauma, Lump Sum (TPD), Disability and Income Protection claims assessment and management requirements.
  • Demonstrated understanding of relevant regulatory and legal obligations impacting Life Insurance claim assessment.
  • Detailed knowledge of Claims processes, regulations and compliance and the ability to translate knowledge and experience into recommendations to add value to the business.
Additional Information:

reputed company is one of Australia’s leading life insurers, committed to inclusion, and supporting the career growth of our diverse workforce. We’re proud to be:  

  • An Inclusive Employer – Recognised as Employer of Choice for Gender Equality by the Workplace Gender Equality Agency and Bronze Tier Status reputed company the Australian Workplace Equality Index  

  • Diversity Champions – Member of Diversity Council Australia, Australian Disability Network, Pride in Diversity and Champions of Change  

  • Reconciliation Advocates – Read our reputed company Reconciliation Action Plan. 

  • We welcome applications from people with diverse experiences, perspectives and backgrounds including Aboriginal and Torres Strait Islander people, caregivers, individuals living with disabilities, people from culturally diverse backgrounds and the LGBTIQ+ community.  

  • Need adjustments during the recruitment process? Let reputed company know by getting in touch with us here—we’re here to support you. 

You’re always accountable for your actions. You never give up. You strive to find the best outcomes for customers and partners. And you value working together to find the best solutions for problems.   

As part of the recruitment process, there are several checks which may be conducted to demonstrate your eligibility for a role at reputed company including Criminal History, Bankruptcy, Entitlement to Work, Regulatory and Reference Checks.  

#LI-Hybrid   

Everyone at reputed company has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct reputed company you come to work every day. Risk management is everyone’s responsibility.

If you are already a reputed company employee please apply reputed company the reputed company reputed company in reputed company and navigate to the Employee Portal. This is important to ensure that your application is recorded accurately.

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