Claims Intake Consultant

Avant by Doctors for Doctors; Sydney; On-site; AUD 70,000 - 90,000; Full time

Job summary

Avant by Doctors for Doctors is seeking a Claims Intake Consultant to join our Medical Indemnity team in Sydney. You will support members through the claims journey, from initial notification through to an indemnity decision outcome, providing professional, empathetic and responsive service across notifications and claims.

You will act as a dedicated contact, build relationships, and navigate complex processes while ensuring decisions align with policy terms and the Insurance Contracts Act 1984.

Qualifications

• Experience in claims, insurance, customer service or a similar environment.
• Strong attention to detail and the ability to interpret policies and guidelines.
• Excellent written and verbal communication skills.
• Good judgement and problem-solving within defined frameworks.
• Ability to manage competing priorities and meet service levels.
• Collaborative approach and willingness to seek expert advice when needed.

Responsibilities

• Provide professional, empathetic and responsive service to members across preferred communication channels.
• Act as a dedicated contact for notifications and claims through to indemnity decision outcome.
• Build strong relationships with members and represent Avant professionally.
• Manage internal inquiries and escalations with stakeholders across Medical Indemnity.
• Review and direct member enquiries to the appropriate owner.
• Proactively manage service levels and progress notifications and claims within timeframes.
• Contribute to a positive member experience and achieve customer satisfaction targets.

Skills

Insurance claims

Customer service

Policy interpretation

Communication

Decision making

Prioritization

Stakeholder collaboration

Member experience

Job description

3d ago , from Avant by Doctors for Doctors

Claims Intake Consultant. Full-time | Sydney

About the role

We’re looking for a Claims Intake Consultant to join our Medical Indemnity team in Sydney.
In this role, you’ll play an important part in supporting Avant members through the claims journey — from their initial notification or claim through to an indemnity decision outcome. You’ll provide professional, responsive claims intake services across individual, corporate and group notifications and claims, ensuring decisions are made in line with relevant product and policy terms and conditions and the Insurance Contracts Act 1984.
This is a member-focused role where you’ll combine strong communication and relationship-building skills with sound judgement, attention to detail and an ability to follow defined processes. You’ll act as a dedicated point of contact for members, helping them navigate what can often be a complex and challenging process.

What you’ll be doing

Supporting our members

• Provide a professional, empathetic and responsive service to members across their preferred communication channel.
• Act as a dedicated point of contact for notifications and claims, supporting members through to an indemnity decision outcome.
• Build strong relationships with members and represent Avant professionally, bringing our H.E.R.E. service principles to every interaction.
• Manage internal enquiries and escalations, working collaboratively with stakeholders across Medical Indemnity.
• Review and assess member enquiries and ensure they are directed to the appropriate owner.
• Proactively manage service levels and ensure notifications and claims are progressed within required timeframes.
• Contribute to a positive member experience and achieve agreed customer satisfaction targets.

Claims and indemnity assessment

• Assess and process notifications and claims in accordance with established procedures, product terms and policy conditions.
• Make objective indemnity decisions using defined process standards and guidelines.
• Where a logic-driven decision cannot be made, apply sound judgement to make and document a decision based on relevant product and policy rules.
• Communicate decline or withdrawal decisions clearly and professionally to members.
• Manage internal escalations and seek specialist or expert input where required.

About you

You’ll bring:

• Experience in claims, insurance, customer service, case management or a similar environment.
• Strong attention to detail and the ability to accurately interpret and apply policies, processes and guidelines.
• Excellent written and verbal communication skills.
• Strong judgement and problem-solving skills, with the confidence to make decisions within defined frameworks.
• The ability to manage competing priorities and work effectively within service level expectations.
• A collaborative approach and the confidence to work with internal stakeholders and seek expert advice when required.
• A genuine commitment to delivering a high-quality member experience.