POSITION DESCRIPTIONGENERAL INSURANCE INDUSTRY NOVEMBER 2008
Position Title: Region/Branch Claims Manager - Professional Liability
Position Code:4318
Career Level:5

Responsible for
Planning, controlling and maintaining the provision of cost effective claims management services in assigned state, region or zone to optimise service levels and contribute to profit.
 
Reports To
State/National Claims Manager
 
Supervises
May supervise up to 35 employees
 
Main Activities
  • Implementing claims management strategies and objectives for the state, region or branch.
  • Ensuring legitimate claims are paid in accordance with policy conditions by providing technical expertise and leadership.
  • Ensuring that the company remains fully informed and receptive to change by monitoring industry/market and legal trends and providing recommendations for change strategies.
  • Ensuring that overall company/branch policies and procedures are implemented effectively within the state, region or branch.
  • Implementing changes to existing claims administration systems and procedures as directed.
  • Monitoring and providing technical support to ongoing claims activities, ensuring that prompt and quality service is provided.
  • Ensuring that recoverable amounts are assessed and effectively followed up, and approving significant claims within written authority levels.
  • Providing management/performance report, initiating productivity reviews and implementing approved improvements.
  •  
    Key Skills
  • Knowledge of all aspects of claims the ability to investigate, analyse and evaluate cases
  • Proven supervisory skills & ability to identify training needs
  • Sound communication skills
  • Sound knowledge of claims administration procedures and related systems
  • Ability to implement claims management strategies and objectives
  •  
    Internal Contacts
     
    External Contacts
     
    Typical Experience
    Associate of Australian Insurance Institute and 5-7 years claims/underwriting experience in the industry
     
    Other Comments
    Alternative Title: Claims Manager
     
     

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