Claims Consultant Job at Randstad (Brisbane)

Claims Consultant

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a ...

Location

Australia , Sydney

Salary:

Not provided

Berkshire Hathaway Specialty Insurance

Expiration Date

Until further notice

Requirements

Minimum 3 years claims, or legal practice, experience handling Executive & Professional claims, or in legal practice
Relevant tertiary qualifications
A high level of professionalism and personal responsibility
Strong customer service and interpersonal skills
Ability to work both autonomously and in a team environment
A growth and learning mindset

Job Responsibility

Managing a portfolio of claims to resolution across all Executive & Professional lines including Professional Indemnity, Directors’ and Officers’ Liability, Cyber and Financial Institutions, Construction, Management Liability, Crime, Statutory Liability and Employment Practices Liability
Providing exceptional customer service and claims management with a proactive approach to achieving strong results for our customers and broking partners
Investigating and managing claims which includes close cooperation with the insured and broker, determination of policy coverage, claim defence and resolution strategy, reserve adequacy and identification of risk management opportunities whilst working towards timely claims outcomes and identification of recoveries where appropriate
Supplementing in-house claims handling expertise with appropriate engagement of legal providers where required
Working closely with underwriters, actuaries and other areas of the business to report on claim developments and portfolio trends to support the development of products and delivery of the Executive & Professional line of business’ goals and objectives
Occasional interstate travel to client / broker meetings, mediations, conferences and other industry events

What we offer

A competitive package and exciting growth opportunities for career-oriented teammates
A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates and our other stakeholders
A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework

Fulltime

Claims Consultant

The Claims Consultant is a key member of the Claims team, serving as a subject m...

Location

Malaysia , Bangsar, Wilayah Persekutuan Kuala Lumpur

Salary:

Not provided

Reinsurance Group of America

Expiration Date

Until further notice

Requirements

Appropriate degree or 5+ years equivalent related experience – medical or pharmacy qualification preferred
Experience in assessing all types of Life and Health claims. Skilled in assessing Life, Critical Illness (CI), and Health claims
Experience in reinsurance and claims auditing an asset is preferred
Excellent bilingual ability in Chinese and English, both oral and written (with approximately 70% of claims in Chinese and 30% in English) required
Experience in Life and Health quality assurance review functions
Knowledge of cancer treatments and related medical claims
Proficient in MS Office (Word, Excel, PowerPoint). Basic working knowledge of MS Access and SQL
Strong interpersonal skills with tact, good judgment, and the ability to engage effectively with clients and internal stakeholders at all levels
Superior oral and written communication and presentation skills
Self-starter with distinct attention to detail and flexibility to manage diverse tasks in a fast-paced environment

Job Responsibility

Perform the claims assessment, approval, and related tasks in line with Treaty Terms & Conditions, RGA standards, guidelines, Claims Philosophy, and delegated claims authority
Review, validate, and approve Claims Bordereaux within authorized limits
Conduct client claims audits, including presenting findings, providing recommendations to enhance procedures and supporting clients in implementing improvements
Build and maintain strong client relationships through effective communication and service delivery
Monitor daily claims performance, logs, and systems to ensure accuracy and high-quality standards
Identify and escalate risk, problems or needs in the day-to-day provision of claim service, audit program or claims reporting
Assist in preparing and delivering claims management reports as required
Participate in client meetings, training sessions, audits, and other collaborative activities
Provide support for ad hoc projects and initiatives

What we offer

Gain valuable knowledge from and experience with diverse, caring colleagues around the world
Enjoy a respectful, welcoming environment that fosters individuality and encourages pioneering thought
Join the bright and creative minds of RGA, and experience vast, endless career potential

Fulltime

Claims Consultant

The Claims Consultant is responsible for utilizing insurance expertise to provid...

Location

United States , Seattle; Lynden

Salary:

75000.00 - 90000.00 USD / Year

Brown & Brown UK

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
5 years’ experience in either Personal & Commercial Lines
Washington State Producer License
Valid Drivers’ License
Working knowledge of MS Office (Word, Excel, & Outlook)

Job Responsibility

Document Agency Automation System – Applied via Claims Detail Screen and Activities for loss reported, awaiting confirmation from carrier, and claim follow-up adhering to the Claims Procedures
Keep the customers informed of the status of their claim
Assist the insured with organizing, documenting and presenting small and large property loss claims
Assist insured with negotiating with total loss on autos to their carrier
Research and conduct coverage analysis on claims
Review Reservation of Rights letters and offers response to insured
Review and offer rebuttals as necessary to coverage disclaimers
Gather supportive documentation to include with any rebuttal
Review accounts with claims for adequate coverage
recommends appropriate coverage/changes to AM or insured and documents

What we offer

Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
ESPP
401k
Student Loan Assistance
Tuition Reimbursement
Free Mental Health & Enhanced Advocacy Services
Paid Time Off, Holidays, Preferred Partner Discounts

Fulltime

Wc Claims Consultant

OVERVIEW Alera Group is looking for a WC Claims Consultant. We are seeking high...

Location

United States , Portland

Salary:

80000.00 - 110000.00 USD / Year

Alera Group

Expiration Date

Until further notice

Requirements

Contact with clients, carrier and TPA claims adjusters, internal customers, and vendors on regular basis to serve as advocate, liaison, mediator, and resource
Prepare, coordinate & present Claim Reviews, Status Spreadsheets and other Claim meetings as requested
Coordinate with client/insured to assist with coverage issues
Participate in presentations with clients and prospects as requested
Documentation in Sagitta and ImageRight as required
Identify and notify Risk Manager/Producer of claims trends to help facilitate a resolution
Function as back-up for other WC Claims Team members
Assist team with highly complex losses and questions related to such
Provide assistance to clients seeking to enhance their return-to-work programs
Provide claims management training, “WC 101” to clients to educate them on the claims process

Job Responsibility

Work effectively with our Work Comp. Clients building solid relationships and retaining business
Work with all Sales Executives, internal Propel staff in Commercial Lines Departments, and externally with our Clients, Carriers and Vendors
Service timeline focus is on larger Valued or 360 Clients for onboarding new accounts and establishing claims services with their carrier/TPA/applicable vendors, providing claims oversight, employer training, and scheduling Claim Reviews and various presentations
Provide claims service for all Propel clients providing technical expertise and servicing as an advocate on client WC claim issues
Work independently with clients and their carrier/TPA consulting on large reserves, coverage issues, return to work issues, settlements, and other items that have a significant impact on retention and premiums
Present to prospects and clients at renewals, stewardship meetings and claim reviews

What we offer

Medical
dental
life and disability insurance
401k
generous paid time off

Fulltime

Claims Consultant - Pet Insurance

Are you a Qualified Vet Nurse and looking for a change of pace? If you love the ...

Location

Australia , Brisbane

Salary:

74500.00 - 76800.00 AUD / Year

Randstad

Expiration Date

June 18, 2026

Requirements

Certificate IV in Veterinary Nursing
clinical savvy to know your TPLOs from your IVDDs and understand common pet illnesses and medications
knack for breaking down medical jargon so customers feel informed and supported throughout their claim
sharp eye for detail and actually enjoy the detective work of piecing together a medical history
tech-confident and happy picking up new systems and software quickly

Job Responsibility

Deep-diving into medical histories and reviewing SOAP notes to see the full story of a patient's care
Using your technical knowledge to assess complex cases involving surgeries, chronic illnesses, and pharmaceutical protocols
Talking Vet to Vet with clinics to clarify treatments and gather the clinical info you need
Supporting pet owners by helping them navigate their claims with the empathy and clarity they need during a stressful time

What we offer

onsite parking
extra leave days
great staff discounts

!

Claims Consultant - Pet Insurance

Are you a Qualified Vet Nurse and looking for a change of pace? If you love the ...

Location

Australia , Brisbane

Salary:

76800.00 AUD / Year

Randstad

Expiration Date

June 11, 2026

Requirements

Certificate IV in Veterinary Nursing
Clinical knowledge of pet illnesses and medications
Ability to explain medical jargon to customers
Attention to detail
Tech-savvy

Job Responsibility

Deep-diving into medical histories and reviewing SOAP notes
Using technical knowledge to assess complex cases involving surgeries, chronic illnesses, and pharmaceutical protocols
Talking 'Vet to Vet' with clinics to clarify treatments
Supporting pet owners by helping them navigate their claims

What we offer

Onsite parking
Extra leave days
Great staff discounts
No weekend work
True Monday to Friday schedule

Fulltime

Consultant, Claims Processing Oversight

This senior-level consultant will provide hands-on configuration oversight, root...

Location

United States

Salary:

Not provided

Kirby Bates Associates

Expiration Date

Until further notice

Requirements

15+ years of payer claims operations leadership
Direct experience with major claims platforms — Facets, HealthRules, QNXT, NASCO, or proprietary platforms at production scale
Demonstrated RCA capability — has personally led root-cause analysis on claims defects that became regulator-facing issues
Track record of configuration root-cause work that has survived external audit
Federal program claims operations experience — FEHB, PSHB, Medicare Advantage, Medicaid, or Tricare
Must be able to be on site every other week

Job Responsibility

Provide hands-on configuration oversight
Root-cause analysis leadership
Provide executive advisory support
Ensure accuracy, integrity, and compliance of medical claims processing across FEHB and PSHB lines of business

What we offer

Housing
Transportation
Regular travel home

Fulltime

Technical Claims Consultant - Liability

Direct Line Group is evolving, and our Commercial Claims function is at the hear...

Location

United Kingdom , Manchester

Salary:

Not provided

Direct Line Group

Expiration Date

Until further notice

Requirements

Proven experience handling complex commercial liability claims, including EL, PL, Disease and Product Liability
Strong technical knowledge of common law, liability principles and insurance legislation
Experience managing higher‑value or complex losses with confident decision‑making within authority
Ability to coach, mentor or provide technical guidance to develop others’ capability
Excellent analytical, communication and negotiation skills, with confidence influencing senior stakeholders

Job Responsibility

Managing a portfolio of complex and high‑value Employers’, Public, Disease and Product Liability claims within delegated authority
Leading detailed investigations, instructing external experts, and confirming indemnity positions through robust policy analysis
Working closely with solicitors and counsel on liability assessment, litigation strategy and policy interpretation
Negotiating fair, timely and commercially appropriate settlements while balancing legal and customer outcomes
Acting as a technical specialist, coaching colleagues and contributing to continuous improvement in claims strategy and processes

What we offer

Employer contributed pension
Annual company bonus
Discounts on insurance products
Generous holiday allowance
Flexible benefits package including optional health and dental insurance
Buy as you earn share scheme
Employee discounts and cashback
Income protection on 50% of your salary for 5 years
Life assurance cover at four times your salary
Free Green Flag breakdown cover

Fulltime

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