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

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

July 19, 2026

Requirements

Certificate IV in Veterinary Nursing
Clinical knowledge of TPLOs, IVDDs, common pet illnesses and medications
Ability to break down medical jargon
Sharp eye for detail
Tech-confident
1 year experience

Job Responsibility

Frontline Claims Support
Customer Service Excellence
Adherence to Exacting Standards
Collaborative Focus
High Integrity Operations

What we offer

Convenient Location in Toowong, QLD
One paid 'ME' Day annually
One paid Volunteer Leave Day annually
Option to purchase up to two additional weeks of leave per year
Paid Parental Leave
Income Protection Insurance
Employee Insurance Offers
Corporate Discounts
Development Opportunities
Vibrant Culture

Fulltime

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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

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

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

Consultant, Claims - Indemnity Specialty

Our team handles some of the most unique and interesting insurance claims at Nat...

Location

United States

Salary:

97000.00 - 180000.00 USD / Year

Nationwide

Expiration Date

Until further notice

Requirements

Demonstrated experience handling toxic tort with emphasis on asbestos and/or silica bodily injury claims, including evaluation, negotiation, and resolution
Proven ability to manage toxic tort bodily injury litigated files, including collaboration with defense counsel, strategy development, and oversight of litigation budgets and outcomes
Undergraduate degree in related field preferred
Post-graduate studies preferred
State licensing where required
Relevant professional designations or certifications desirable (CPCU, CLU, IIA, AEI, etc.)
Eight years of specialty claims experience preferred
Proven superior knowledge of the best claims practices used to resolve the most sever and technically complex claims
Demonstrated knowledge of insurance contracts and legal aspects affecting regulatory and liability issues that relate to environmental and other specialty claims
Proven ability to meet customer needs and provide outstanding service by informing customers of the claims process and ensuring a positive customer experience

Job Responsibility

Completes detailed review and analysis of claims
Investigates liability and damages
Brings files to closure, either by voluntary dismissals or by negotiation of settlements
Resolves amount of appropriate settlements or grounds for denial
Assists in the drafting of settlement documents
Provides reserve analysis to ensure timely and accurate case reserves in according to optimal claims practices
Negotiates cost sharing agreements between other insurance carriers and policyholders
Maintains current knowledge of assigned insurance lines, court decisions which may impact the claims function, current guidelines and policy changes and modifications
Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, Claims Management and Underwriting
Performs continuous review of claims inventory

What we offer

medical/dental/vision
life insurance
short and long term disability coverage
paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date
nine paid holidays
8 hours of Lifetime paid time off
8 hours of Unity Day paid time off
401(k) with company match
company-paid pension plan
business casual attire

Fulltime

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