Claims Specialist

CFC; Melbourne; Vor Ort; AUD 90.000 - 120.000; Vollzeit

Zusammenfassung

CFC is seeking a detail-oriented Claims Specialist to join the Melbourne-based Claims team. You will manage professional liability, D&O and E&O claims from notification to settlement, while liaising with policyholders, brokers and external vendors.

The role involves cross‑functional collaboration with underwriting, finance, IT and product teams. The ideal candidate has at least 3 years of claims experience, strong policy wordings knowledge, and excellent communication skills.

Qualifikationen

• Minimum of 3 years’ experience handling claims.
• Good understanding of insurance policy wordings.
• Experience with incident response vendors (legal/forensic).
• Strong computer skills incl. Outlook, Word, Excel.
• Experience dealing with external stakeholders.
• Excellent communication and client-facing skills.
• Positive and enthusiastic attitude.

Aufgaben

• Proactively handle a cross-section of claims including professional liability, management liability, D&O and E&O claims from first notification to settlement.
• Foster relationships with policyholders, brokers, underwriters and capacity providers.
• Work with incident response vendors during claims incidents.
• Ensure prompt and accurate reserving; pursue third party recoveries; reduce leakage.
• Prioritise deadlines from lawsuits, demand letters, and inquiries.
• Collaborate with service providers; ensure value for money and timely delivery.
• Perform claims admin tasks and produce management information.
• Coordinate with underwriters and Products on claims issues and wordings.
• Identify and elevate issues to Claims Manager/Director when needed.

Kenntnisse

Claims handling

Customer service

Communication

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

ECF

Jobbeschreibung

Claims Specialist

Department: Claims

Employment Type: Permanent - Full Time

Location: AU - Melbourne

Reporting To: Margaret Murphy

Description

Are you an emerging insurance professional with a keen eye for detail and a passion for learning? We are seeking a detail-oriented and proactive Claims Specialist to join our growing Claims team based in Melbourne.

About the role

An experienced claims professional is required to further strengthen CFC’s Claims Team and to ensure that CFC continues to deliver a high-quality claims service to policyholders, brokers, underwriters and capacity providers. We are seeking a conscientious and hardworking claims professional with experience in D&O and E&O claims.

This role will work with colleagues in CFC’s office in London, and Incident Response team, along with a number of incident response vendors including forensic, legal, and PR ensure that CFC delivers a cost effective, but high quality response to our Insureds.

The role will also involve working with Underwriting, Finance, IT and Products teams whilst being subject to all relevant legal and statutory (ASIC and Lloyd’s) requirements and obligations.

Key Responsibilities

• Proactively handle a cross-section of claims including professional liability, management liability, D&O and E&O claims on behalf of CFC from first notification of loss to settlement. You will also handle claims, as necessary, on behalf of CFC Claims Australia as a TPA to CFCU (surplus lines).
• Foster good relationships with policyholders, brokers, underwriters and capacity providers, and drive excellent customer service.
• Actively work with a panel of response vendors during claims incidents.
• Ensure that there is prompt and accurate reserving, identifying and pursuing relevant third party recoveries and seeking to reduce claims leakage.
• The ability to prioritise where necessary, identifying deadlines such as those stipulated within lawsuits, demand letters and in addressing claims queries.
• Work closely with CFC’s panel of service providers to ensure a quality and value for money service is provided/received within required timeframes.
• General claims administrative duties such as electronic file management filing and payment requests, and the production of management information.
• Working closely with underwriters providing feedback on claims issues/trends and the Products team concerning the development of CFC’s products and wordings.
• Identify and elevate claims related issues to Claims Manager and Claims Director where necessary.

Skills, Knowledge & Expertise

• Minimum of 3 years’ experience of handling claims.
• Good understanding of insurance policy wordings – policies a particular advantage.
• Experienced at working with incident response vendors, in particular legal and forensic providers.
• Good computer skills (including Microsoft Outlook, Word & Excel), and use of ECF an advantage.
• Experienced at dealing with external stakeholders in a customer service or consultancy environment
• Excellent communication skills and capable of credibly speaking to clients and partners and the value CFC’s products and services provide in responding to them.
• Positive and enthusiastic attitude.