A fantastic opportunity to step into a specialist role managing complex claims with a strong focus on stakeholder communication, compliance, and timely resolution.
You’ll play a key part in helping clients through the claims process while contributing to best-practice improvements in a collaborative, hybrid work environment.
What's in it for you?
- Full-time, permanent role
- Opportunity to come in at senior level, depending on experience
- $75,000 – $95,000 + super
- Location: Sydney (CBD) with hybrid flexibility (2–3 days WFH)
- Join a national claims leader with a strong track record of career development and internal progression.
- Be part of a people-first culture that values wellbeing, flexibility, and meaningful employee benefits.
Main responsibilities include:
- Manage and assess accident and health claims from start to resolution.
- Review medical records and policy documentation to determine eligibility and liability.
- Conduct investigations, liaise with policyholders, claimants, and healthcare providers.
- Communicate with stakeholders to gather information and clarify claims details.
- Make informed settlement decisions within authority limits.
- Ensure compliance with policies, legislation, and internal claims processes.
- Guide and support other claims staff with technical queries or complex cases.
- Contribute insights to improve claims processes and mitigate risk.
The ideal candidate:
- 3+ years’ experience in accident & health insurance claims, or similar experience within Workers Comp, CTP, Life insurance, Loss of income, Financial Lines or Injury management.
- Strong understanding of policy language, claims legislation, and medical terminology.
- Excellent written and verbal communication skills.
- Detail-oriented with strong analytical and decision-making skills.
- Able to manage competing priorities in a fast-paced, high-volume environment.
- Familiar with claims management systems and software.
If this sounds like the ideal role for you, apply today!
Any questions, please reach out to Niamh@maydayrecruitment.com
Any questions, please reach out to Niamh@maydayrecruitment.com
