Brisbane, Queensland, Australia
16 hours ago
Senior Claims Consultant - Accident & Health (Sydney or Brisbane)
Introduction Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND. We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply. Overview Your Role Gallagher Bassett are currently seeking an experienced Senior Claims Consultant to join our Accident & Health team in Brisbane. This role will be offered on permanent full-time basis with flexible hybrid working arrangements, Working From Home (WFH) and in our Brisbane or Sydney CBD office. The Senior Claims Consultant - Accident & Health plays a crucial role in managing and adjudicating Accident and Health insurance claims. You are responsible for assessing claims, determining coverage, and facilitating the claims process to ensure timely and accurate resolution for clients. How you'll make an impact You will add value to Gallagher Bassett across the following: Review Accident and Health insurance claims to determine coverage eligibility and validity Conduct thorough investigations into the circumstances surrounding each claim, gathering relevant information from various sources Collate and review medical records, policy provisions, and other documentation to evaluate the extent of coverage and liability Communicate with claimants, policyholders, healthcare providers, and other stakeholders to gather additional information and clarify details as needed Make informed decisions regarding claim settlements, negotiating settlements within established authority limits Ensure compliance with regulatory requirements and company policies throughout the claims process Document claim decisions, activities, and communications accurately and thoroughly in the claims management system Provide guidance and support to claims staff, assisting with complex claim reviews and sharing expertise in Accident and Health insurance Collaborate with underwriters, insurers, and other stakeholders to provide insights and recommendations for improving claim processes and mitigating risks Stay informed about industry trends, regulatory changes, and emerging best practices in Accident and Health insurance claims management About you We’re interested in hearing from people who possess: Minimum of 3 years of experience in Accident and Health insurance claims management, with a strong understanding of insurance principles and practices Proficiency in interpreting insurance policy language and medical terminology Excellent analytical skills and attention to detail, with the ability to assess complex situations and make sound decisions Strong communication skills, both verbal and written, with the ability to effectively interact with diverse stakeholders Proven ability to prioritise tasks, manage workloads efficiently and meet deadlines in a fast-paced environment Certification in claims handling or insurance (ANZIIF) preferred Familiarity with claims management systems and software applications used in the insurance industry A brief overview on GB Gallagher Bassett is Australia’s largest Third-Party Administrator (TPA). Our focus is refreshingly simple: we manage insurance claims on behalf of insurers, brokers, government bodies and self-insured corporations. Gallagher Bassett (GB) has six offices in Australia located in Northern Territory, Adelaide, Perth, Brisbane, Melbourne and Sydney, employing over 1000 staff. GB values its employees and offers a friendly, comfortable working environment that facilitates Work Life Balance! If you live our values and demonstrate the people capabilities, we can not only offer you great career opportunities, but on a day to day you’ll experience the following: Flexible work arrangements – including WFH Paid Parental Leave Birthday Leave Excellent Working Environment – friendly, flexible and supportive working environment which is built around great team support and rewarding opportunities Exciting career – as our Company grows, so do the opportunities for our people Opportunities for ongoing education and career development Service recognition awards Employee assistance program for yourself and immediate family members If this sounds interesting to you, we want to hear from you today, click on Apply for this Job! To be considered for this opportunity you must have the right to live and work in Australia when applying. Agency applicants will not be considered for this role. Gallagher Bassett is an Equal Opportunity Employer and Indigenous Australian applicants are encouraged to apply. As a member of the Diversity Council Australia, we recognise the importance of, and embrace diversity in the workplace. We will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant. Compensation and benefits On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve: 4 weeks annual leave plus up to 2 weeks additional purchased Lifestyle Leave Novated Leasing opportunities Two paid volunteer days annually Health Insurance Discounts with our Group Insurance Plan Employee Stock Purchase Program Paid parental leave Other benefits include: Flexible and hybrid work arrangements Mental Health and Wellbeing Support for yourself and immediate family members Employee Recognition Awards and Service Milestone Recognitions Peer Support Program Annual flu vaccinations Access to Reward Gateway – discount offers at over 350 retailers! And more... We value inclusion and diversity Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
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