Remediation Case Analyst - Workers' Comp

Oceanic Consulting Group; Sydney; On-site; AUD 90,000 - 120,000; Full time

Job summary

HDI Global in Sydney is seeking a Claims Adjuster – Delegated Authority to manage financial lines claims from initial assessment to resolution. You will liaise with claimants, brokers, underwriters and experts to deliver fair and timely outcomes, while upholding policy terms and regulatory obligations.

The role reports to the Claims Manager – Delegated Authority and requires at least three years of insurance claims experience, strong investigation skills and proficiency in Excel, Word and

Qualifications

• Minimum of three years’ experience in an insurance claims role.
• Solid understanding of insurance policies and procedures.
• Clear written and verbal communication with a customer-focused approach.
• Relevant tertiary qualification or current study toward a qualification in business, insurance or related field.

Responsibilities

• Manage financial lines claims from notification through to resolution, assessing coverage, liability and damages.
• Review policy documents, submissions and evidence to determine validity and entitlement.
• Conduct investigations, gather information, interview parties and consult experts when required.
• Prepare clear correspondence including claim decisions, settlement offers and denial letters.
• Collaborate with Claims, Underwriting and Legal colleagues to achieve effective outcomes.

Skills

Claims management

Insurance policies

Customer service

Education

TAFE/ANZIIF/university qualification in business or insurance

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Job Description

Claims Adjuster – Delegated Authority

Sydney | Financial Lines Claims | Delegated Authority

Are you an experienced claims professional looking to develop your career in financial lines and delegated authority? HDI Global is seeking a Claims Adjuster – Delegated Authority to join our Sydney-based team and manage claims from initial assessment through to resolution.

About HDI Global

HDI Global is a leading international industrial insurer with operations in more than 175 countries through branch offices, subsidiaries and network partners. In Australia and New Zealand, our locally empowered teams deliver commercial, flexible insurance solutions across a broad range of general and specialty lines.

About the role

Reporting to the Claims Manager – Delegated Authority, you will manage and process financial lines claims within the delegated authority portfolio. You will work with claimants, brokers, underwriters, adjusters, surveyors and other stakeholders to deliver fair, timely and well-reasoned claims outcomes.

• Manage financial lines claims from notification through to resolution, including assessing coverage, liability and damages.
• Review policy documents, claim submissions and supporting evidence to determine validity and entitlement.
• Conduct investigations, gather and evaluate information, interview relevant parties and consult experts when required.
• Prepare clear, accurate correspondence, including claim decisions, settlement offers and denial letters.
• Assist with the review and processing of monthly trust reconciliations for delegated authority business.
• Maintain accurate claim records and prepare reports, summaries and performance analysis.
• Provide professional, responsive service to brokers, claimants, clients and other stakeholders.
• Ensure claims are handled in line with company policies, regulatory obligations and legal requirements.
• Identify and elevate potential fraud, suspicious activity and emerging risks.
• Collaborate with Claims, Underwriting and Legal colleagues to achieve effective outcomes.

About you

• A minimum of three years’ experience in an insurance claims role.
• Proven ability to assess and manage claims, supported by a sound understanding of insurance policies and procedures.
• A relevant tertiary qualification, or current study toward a TAFE, ANZIIF or university qualification in business, insurance, administration or a related field.
• Clear written and verbal communication skills, with a professional and customer‑focused approach.
• Strong organisation and multitasking skills, with the ability to manage competing priorities.
• The ability to work effectively both independently and as part of a team.
• Competency in Microsoft Excel, Word and Outlook.

Why join us?

This is an opportunity to expand your financial lines and delegated authority expertise within an established global insurer. You will work closely with experienced claims professionals and cross‑functional teams in an environment that values sound judgement, collaboration and high‑quality service.