Australia Job Openings
Resolution Life
Case Manager
Sydney
FULL TIME
September 23, 2024
We are seeking a highly experienced Case Manager with a strong background in Life Insurance to join our dynamic team on a permanent full-time basis. The ideal candidate will have a proven track record in Return to Work (RTW) strategies, demonstrating significant results in this area. We are looking for individuals with drive, determination, and a resilient personality, who are eager to grow and develop their careers.
RLA has adopted agile ways of working, providing a flexible environment for individuals to make a significant contribution to our success through the application of their skill and experience. To thrive in this environment ideally a candidate has the following attributes:
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Taking ownership of a portfolio of claims, managing the related workflow professionally in line with service level agreements and regulatory requirements
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Working as part of a self-managed team, supporting the team as needed to complete the daily team workload.
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Effectively and efficiently provide a seamless customer experience
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Providing empathetic customer service to customers and stakeholders.
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Calculating and processing accurate claim related payments in a timely manner.
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Ensuring legal and regulatory compliance whilst adhering to claims processes.
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Completing holistic reviews and end-to-end management of a customer’s case.
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Building rapport and communicating appropriately with customers.
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Understanding and applying the relevant policy terms and conditions to determine claim coverage or liability.
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Analysing medical, financial, and other relevant information, engaging the appropriate investigative tools to ensure claims are appropriately managed.
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Identifying opportunities within the claims portfolio, engaging with appropriate parties such as rehabilitation, actuaries etc. and where required negotiating to ensure sustainable outcomes are achieved.
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Showing up positively for both your customers, stakeholders and peers.
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An appropriate Allied Health qualification and/or background in Workcover and/or Legal preferred, but not essential
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Management of complex case management
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Detailed knowledge of rehabilitation process and a minimum of 2 years’ experience in applying targeted rehabilitation and return to work strategies
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Negotiation skills
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Understanding of the Risk Insurance market and associated products will be advantageous
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Detailed planning, time management and prioritisation skills
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Ability to regularly engage with various internal stakeholders and departments
At Resolution Life, we have identified the following critical skills which are key to success in our culture:
- Customer Focused: Passionate drive to delight our customers and offer unique solutions that deliver on their expectations.
- Critical Thinking: Thoughtful process of analysing data and problem-solving data to reach a well-reasoned solution.
- Team Mentality: Partnering effectively to drive our culture and execute on our common goals.
- Business Acumen: Appreciation and understanding of the financial services industry in order to make sound business decisions.
- Learning Agility: Openness to new ways of thinking and acquiring new skills to retain a competitive advantage.
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