Posted Today

Claims Specialist

MelbourneOn-site

AI Summary

Handles D&O and E&O insurance claims from notification to settlement, coordinates with incident response vendors and internal teams, and ensures accurate reserving and customer service.

About this role

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 escalate 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.

Skills

ASICClaims AdministrationClaims HandlingD&O ClaimsECFE&O ClaimsExcelFile ManagementForensic ProvidersIncident Response VendorsInsurance Policy WordingsLegal ProvidersLloyd'sMicrosoft OutlookMicrosoft WordPayment RequestsReservingThird Party Recoveries