Claims Review Specialist

We are seeking a talented individual to join our Claims Trustee Review team at Mercer Super. This role can be based in Melbourne, Sydney or Adelaide. This is a hybrid role that has a requirement of working at least three days a week in the office.

Claims Review Specialist

This is an individual contributor role within the Claims Trustee Review team, supporting Mercer Superannuation (Australian) Limited’s claims governance responsibilities. You will review disability, death and deceased estate claims, work with insurers and other stakeholders, and help ensure claims are handled in line with regulatory, trustee and internal requirements.

We will count on you to:

• Review claim case files and make decisions on insured benefits, deceased estate distributions and objections to deceased estate decisions

• Assess and, where appropriate, challenge insurer decisions relating to death, disability, illness and injury claims

• Represent Mercer Super in dealings with external stakeholders, including insurers, auditors, Risk and Compliance, Legal and AFCA

• Monitor trustee service level requirements and ensure compliance with the Mercer Delegations Approval Policy

• Manage case escalations, identify process or system issues, and support corrective action

• Contribute to projects and provide technical input to support the best financial interests of members

What you need to have:

• Demonstrated experience in superannuation, financial services or life insurance claims management

• Experience making claims-related decisions on behalf of a trustee or in a comparable governance environment

• A sound understanding of trustee responsibilities, superannuation regulation, claims management and relevant insurance legislation

• Strong written and verbal communication skills, sound judgement and excellent attention to detail

What makes you stand out:

• Tertiary qualification in a relevant discipline

• Experience in a client servicing or consulting role

• RG 146 qualification or progress towards it

Why join our team:

• We help you be your best through professional development opportunities, interesting work and supportive leaders

• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities

• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being

About Mercer: