Claims Consultant - Health and Benefits


The Role

This role will be responsible for Life and Personal Accident claims advocacy though the provision of technical advice and support, settlement negotiations and problem solving. Proactively managing claims with carriers on behalf of clients, leveraging understanding of claims processes, procedures and laws. It will also provide general advice to clients on validity of claims and appropriate claim strategy and work in partnership with the Client Consultant (Health & Benefits) as required.

This is a part-time role working three days per week. There is flexibility around which days the successful candidate prefers. The location of the role can be Melbourne or Sydney.

  • Oversee allocated claims or clients including major and complex claims
  • Provide advice and support to clients in the negotiation and settlement of a claim
  • Negotiate for clients with insurers
  • Engage with all parties to resolve coverage disputes through in-depth policy knowledge, current case law and industry practices and trends
  • Provide claims advice to clients and internal stakeholders in relation to reporting & monitoring of claims activity, claims reviews/audits, advice on industry claims experience
  • Provide claims specific input to a client tender process (Request For Proposal), working with the client advocate
  • Provide technical expertise and mentoring to assist development of Claims Advisors and associates in Manila.
  • Monitor claims progress to ensure follow up with insurers and timely resolution of the claim
  • Monitors the end-to-end claims process to ensure high quality service is achieved
  • Provides structured data for the business to use to provide excellent service to our clients

The Requirements

  • Extensive experience in all aspects of end to end claims process, specific process requirements and client and carrier engagement, including adjudication process/ procedures
  • Deep knowledge of (group life, salary continuance and personal accident), class claims and the law and case precedent applicable to this class
  • Working towards a professional insurance qualification
  • Holds all regulatory licences, permissions and technical or other requirements applicable under local legislation
  • The ability to build strong relationships with clients, brokers and insurers
  • Excellent influencing, negotiation, presentation and communication skills
  • Ability to effectively present to clients and prospective clients your claims expertise
  • Extensive claims expertise in loss prevention / claims mitigation techniques
  • Coaching and mentoring of team members
  • Competent in Microsoft Office applications (Outlook, Excel and Word)

Candidates must have either Australian or New Zealand citizenship or an appropriate permanent working visa.

Willis Towers Watson is an equal opportunities employer and does not discriminate on any basis. We support flexible working and this role will be considered on a flexible basis.

The Company

Willis Towers Watson is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, Willis Towers Watson has 40,000 employees serving more than 140 countries. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our unique perspective allows us to see the critical intersections between talent, assets and ideas – the dynamic formula that drives business performance. Together, we unlock potential. Learn more at willistowerswatson.com.

Willis Towers Watson is an equal opportunity employer

Willis Towers Watson believes that effectively managing a diverse workforce is vital to our business strategy. We have an obligation to our organization, ourselves and our clients to hire and develop the best people we can find. We will continually review our policies and practices to ensure that all areas of the employment process (including recruiting, hiring, work assignments, compensation, benefits, promotions, transfers, company-sponsored development programs and overall workplace experience) are free from discriminatory practices. We are committed to equal employment opportunities at Willis Towers Watson.


Unsolicited Contact: Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Willis Towers Watson are considered property of Willis Towers Watson and are not subject to payment of agency fees. In order to be an authorized Recruitment Agency/Search Firm for Willis Towers Watson, any such agency must have an existing formal written agreement signed by an authorized Willis Towers Watson recruiter and an active working relationship with the organization. Resumes must be submitted according to our candidate submission process, which includes being actively engaged on the particular search. Likewise, for our authorized Recruitment Agencies/Search Firms, if the candidate submission process is not followed, no agency fees will be paid by Willis Towers Watson. Willis Towers Watson is an equal opportunity employer.

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