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Sedgwick Australia is seeking a Claim Advisor to manage low-complexity claims from notification to resolution in a hybrid work environment. You will support broader claims operations, maintain records, and communicate with customers and stakeholders to ensure timely outcomes within delegated authority.
The role emphasizes accuracy, collaboration, and adherence to client requirements and company procedures, with opportunities to contribute to continuous improvement and team performance.
The Claim Advisor is responsible for managinglow-complexityclaims and supportingthe effective delivery ofbroader claims operations
The role progresses claims from notification to resolution, provides timely support to customers and stakeholders, and delivers claim outcomes in accordance with delegated authority, client requirements and organisational procedures.
Duties and responsibilities
Manage an allocated portfolio oflow-complexityclaims from notification through to resolution and closure.
Assess and progress claims in accordance with documented procedures, delegated authority, client requirements and business standards.
Gather, review and maintain information required to support claim assessment and decision-making.
Maintain timely and professional communication with customers, clients, brokers, service providers and other stakeholders.
Manage claim payments and other claim transactions within delegated authority.
Identify and escalating claims, issues and decisions that require additional technical assessment, investigation or authority.
Maintain accurate, complete and up-to-date claim records and documentation.
Support Claims Consultants and other team members in the effective management of claims portfolios and operational activities.
Contribute to the achievement of client service standards, contractual obligations and business performance objectives.
Ensure compliance with all relevant legislation, industry codes, client requirements and Sedgwick policies and procedures.
Activelycontributeto team collaboration, knowledge sharing and continuous improvement initiatives.
Performance Measurements
Consistently demonstrates Sedgwick's values and expectedbehaviours.
Delivers timely, accurate and customer-focusedclaim outcomeswithin delegated authority.
Maintains a high standard of claim quality, documentation and administrative accuracy.
Meetsagreedservice standards, client commitments and operational performance objectives.
Maintains proactive and effective communication with customers, clients and stakeholders.
Processes claim payments and transactions accurately and in accordance with delegated authority.
Identifies and appropriately escalates claims, risks, complaints and matters requiring additional authority or technical assessment.
Maintains compliance with all applicable legislation, industry codes, client requirements and Sedgwick policies and procedures.
Completes all mandatory training and accreditation requirements.
Contributes positively to team performance, collaboration and continuous improvement activities
Caring Culture
It’s at the heart of everything we do, and we show we care by living our core values: Empathy, Accountability, Inclusion, Collaboration, and Growth. By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Sedgwick is an equal opportunity employer, recognized by the Diversity Council of Australia. We're committed to fair and accessible recruitment. If you need special accommodations, please let us know when applying.
If you are successful in joining our team, you will be required to complete reference checks, mandatory background checks, including a police check and work rights.
Why Sedgwick?
Sedgwick is the global leader in claims administration, loss adjusting, benefits administration, and product recall. We are committed to providing excellent service to our clients and are passionate about helping them through difficult times.
Every day, our colleagues are working to make the world better. They’re helping people recover after an injury or illness. They’re assisting with damage from a natural disaster. They’re even giving back to others in their spare time, championing over 500 charities in communities around the world, and counting.
Whether you’re in loss adjusting, claims, customer service, nursing, engineering, IT or another specialty, there’s a place for you here to be a force for good.