Why join us? Proclaim is an independent specialist Claims Manager providing innovative solutions for Insurers, Underwriters, large Corporates and Brokers.
Our purpose is to go beyond and make a difference; we get that opportunity every day. We combine leading edge tech with the best people, to get superior solutions for our clients.
Our client base is comprised of blue-chip corporates, Lloyd's of London underwriters and large local insurance companies and we have been named one of Australia's best places to work; our cool and collaborative office environment reflects that.
You will make efficient technical decisions whilst providing exceptional customer service to our clients. This role will also see you take ownership and management of a portfolio of
travel claims , liaise with relevant parties, assess liability and financial exposure, and make recommendations for the future strategy of each claim.
We offer flexible hybrid working which helps our employees create a healthy work-life balance! All your technology needs will also be provided for you to perform your role.
Responsibilities 1) Ownership and management of a portfolio of claims • Early and effective coverage analysis
• Assessment and justification of reserves in line with authority levels
• Employ proactive early intervention strategies to reduce claims cost
• Develop a strategy for claim resolution
• Timely scheduling of an independent medical examination (IME)
• Appointment of an investigator (where applicable)
• Prioritise tasks to oversee up to 150 claim files (depending on claim type)
• Complete general administration for each claim file
• Assessment of recovery prospects
2) Ownership and maintenance of loss funds Trust Accounts where appropriate • Manage client's trust account including payment of service provider invoices and settlements
• Reconciliation of Trust Accounts
• Oversight of monthly claims report
3) Maintain the client relationship to achieve superior results • Communicate effectively with claimants, clients, brokers, investigators, insurers and medical practitioners through written and verbal means
• Demonstrate effective negotiation and liaison techniques with clients, claimants, lawyers, brokers, insurers and service providers
• Provide training, as required, to the insured to facilitate improved risk management
• Report to and update relevant stakeholders regarding claims as required
• Facilitate regular and structured contact with clients
4) Competent use of systems and processes in claim management • Effective use of Propel and Microsoft Office applications
• Understand and adhere to Proclaim processes and procedures
• Understand insurance policy review, application and policy coverage
5) Supporting the achievement of company goals and vision • Effective file and claim management to support Proclaim in meeting objectives and targets (budget, new business and existing business)
• Account retention and development of new business
• Utilise marketing and networking opportunities
• Support other team members as required
What will help you succeed in this role? - Accuracy, attention to detail and quality
- Time management and demonstrated ability to prioritise and multi- task
- Effective Negotiation and advocacy ability
- Strong verbal and written communication including sound telephone manner
- Computer skills - Usage of internal systems
- Drafting documents, letter writing and typing ability
- Ability to run and interpret reports
- Solid analytical and dispute resolution ability
- Relationship building
- Presentation skills
Technical Skills:
- Broad understanding of Accident & Health & Travel insurance policies
- Understanding of the Insurance Contracts Act
- Understanding of the Insurance Code of Practice and Privacy Code
- Understanding the role of brokers and industry stakeholders
- Interpretation of policy/clauses/exclusions
- Solid understanding of the client structure, fee structure and invoice process
- Ability to assess quantum and reserve effectively
- Ability to identify conflicts of interest
- Understanding of Lloyds of London key processes
What we offer At DWF, we deeply appreciate the significance of offering a comprehensive rewards package that extends beyond a basic salary. Our commitment is to ensure that each member of our team not only feels valued but is also duly rewarded throughout their tenure with us. Upon joining our organisation, you will have the opportunity to select from a diverse array of benefits, allowing you to carefully tailor a package that perfectly aligns with your individual needs and those of your family. In addition to our standard benefits, we offer a wide range of flexible benefits and robust well-being programs.
Our recruitment process upholds the highest standards of fairness and engagement. It includes comprehensive interviews and, at times, a written assessment, an assessment day, or presentation. We aim to create a positive experience for all candidates and offer any adjustments or additional support.
About us DWF is a global legal business providing Complex, Managed and Connected Services. We empower people to be themselves within an inclusive and supportive environment, enabling everyone to achieve their full potential in line with their abilities and career aspirations.