Shape Yor Ftre With s
General Re Corporation, a sbsidiary of Berkshire Hathaway Inc., is a holding company for global reinsrance and related operations, with more than , employees worldwide. It owns General Reinsrance Corporation and General Reinsrance AG, which condcts bsiness as Gen Re.
Gen Re delivers reinsrance soltions to the Life/Health and Property/Casalty insrance indstries. Represented in all major reinsrance markets throgh a network of 37 offices, we have earned sperior financial strength ratings from each of the major rating agencies. We vale diversity, eqality and inclsion and promote a cltre that spports professional and personal growth.
Yor Role
Or Astralian Life and Health Claims Team is seeking to appoint a sitably qalified Senior Claims Specialist to work in or Sydney office.
Yor Key Responsibilities
Assessing life claims throgh the analysis of financial, medical and occpational/fnctional evidence. Managing the performance of portfolios of reinsred claims throgh the provision of strategic claims management plans, gidance and coaching. Liaising with clients to develop processes to encorage early notification and intervention strategies to facilitate claims otcomes and control claim dration. Identifying claims that wold be appropriate for rehabilitation or case management intervention from the Gen Re Case Management Service. Maintaining a strong client focs with emphasis on relationship management. Liaising with clients to nderstand their needs and identify and commnicate opportnities where Gen Re can add vale to their bsiness. Participating in the delivery of training modles and presentations to facilitate contined professional development at an indstry level. ndertaking portfolio analysis, identifying claims incidence and experience trends as well as formal adits and reviews of clients claims portfolios. Providing insights to yor Gen Re colleages and clients on crrent and emerging indstry trends and claims best practice nationally and internationally. Promoting the company's services to indstry participants. In addition to the key accontabilities of a LH Senior ClaimsSpecialist yo will m anage relationship and portfolio strategies of allocated clients and treaties. Key responsibilities inclde: Maintain reglar, targeted client engagement at appropriately management levels, facilitating alignment on complex dispted claims matters. Lead discssions with clients on complex, dispted and sensitive claims matters, claims risk considerations to achieve appropriate otcomes and resolve differing stakeholder perspectives. Proactively research and monitor crrent and emerging complaint impacting the Life & Health insrance indstry. Collaborate across GRLA, regional segments, and global teams to translate these insights into practical applications, enhance internal practices, and effectively increase the awareness with clients in response to the evolving complaint landscape. Appropriately escalate and refer potential disptes within the claims process to ensre client concerns and complaints are managed promptly and in accordance with established internal service standards, reglatory reqirements and the Global Athorities Framework. In yor area of expertise, yo will: Liaise with the Gen Re Global, and Segment Departments on dispted claims and when appropriate Gen Re Legal, providing local market expertise and spporting internal stakeholders as reqired. Provide expert policy interpretation and coverage advice, inclding a specific focs on morbidity and mortality claims. Develop, implement and execte commtation strategies aligned with Gen Re's risk appetite. Represent GRLA in the Global & Segment Claims in-force management meetings ensring insights, local reglatory reqirements, Ombdsmen activity and LICOP nances are at the forefront of discssion. Provide prodct-related advice as reqired, ensring alignment with the claims controls framework. Contribte to indstry thoght leadership gropsthrogh delivering presentations and athoring blogs/articles within yor areaof expertise. Yor Profile Essential: Extensive experience providing technical claims leadership in complex, dispted, and high vale life/health insrance claims environments. Demonstrated ability to inflence and negotiate with senior stakeholders on complex and contentios claims matters. Expert knowledge of: Insrance Contracts Act (1984) Life Insrance Act (1995) SIS Act (1993) Life Insrance Code of Practice (LICOP) Litigation processes and dispte resoltion frameworks. Demonstrated ability to: Interpret and apply legal principles to claims scenarios. Develop strategies for high-risk and contentios claims. Inflence senior stakeholders and drive sond claims and risk management otcomes. Strong capability in: Policy/Contract wording interpretation Non-disclosre, misrepresentation and potential frad assessment Reglatory analysis and application. Highly developed commnication skills, with the ability to convey complex legal concepts in a practical and accessible manner. Proven ability to operate as a sbject matter expert in yor field of expertise. Minimm of five years working as a dispte resoltion specialist managing complex claims matters. Desired: Tertiary qalification in law. Demonstrated thoght leadership in legal or claims-related topics. Experience contribting to reglatory or indstry initiatives. We offer a • Hybrid working model (6/4 Office/Home)
• Highly professional and inclsive working environment that vales excellence, integrity, personal responsibility, and diversity
• Excellent compensation and benefits
• Flat corporate strctre with a strong team ethic
• Spport for yor personal and professional development
Does this sond exciting? If yo want to shape yor ftre with s, we look forward to receiving yor application via or website Gen Re.
Contact Hman Resorces
Or Address General Reinsrance Life Astralia Ltd. Level
1 O'Connel Street
Sydney, NSW (Astralia) ABN 73
166 869