Senior Claims Consultant - Accident & Health Sydney

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.

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.

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

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 o.