Senior Claims Specialist
CFC
Senior Claims Specialist
CFC
full-time
Posted on:
Location Type: Hybrid
Location: Melbourne • 🇦🇺 Australia
Visit company websiteJob Level
Senior
About the role
- Proactively handle cyber and tech claims on behalf of CFC from first notification of loss to settlement, including acting as a TPA to CFCU (surplus lines) where required
- Handle claims in accordance with CFC Claims Handling Guidelines from FNOL to settlement, including coverage, legal liability and quantum analysis within delegated authorities
- Foster good relationships with policyholders, brokers, underwriters and capacity providers and drive excellent customer service
- Ensure prompt cyber claims response and assist with development of cyber claims processes and procedures
- Work closely with the London based Cyber Claims team handling Australian claim notifications to ensure consistency across jurisdictions
- Actively work with a panel of cyber response vendors (forensic, legal, PR) and manage vendor relationships
- Monitor claims team to ensure prompt and accurate reserving, identify and pursue third-party recoveries and seek to reduce claims leakage
- Prioritise deadlines such as lawsuit and demand letter timelines and address claims queries
- Work with CFC’s panel of service providers to ensure quality and value-for-money service within required timeframes
- Perform general claims administrative duties such as electronic file management, filing and payment requests, and production of management information
- Support the Cyber Claims Manager and Claims Director, providing feedback to underwriters on claims issues/trends and to Products team on product and wording development
- Identify and escalate claims related issues where necessary and influence new initiatives to improve service delivery
- Assist in vendor RFI process and selection of new cyber vendor relationships
- Provide timely MI & Reporting updates to the Cyber Claims Manager and Claims Director
- Assist with triage of claims notified through cyber claims mailbox
- Manage the claims adjusting and technical aspects of dealing with cyber incidents and investigations
- Supervise claims and incident response team to ensure they operate to their potential
- Manage the cyber claims team including goal and objective setting, conducting regular 1:1s, team meetings and completing six-monthly performance appraisals
- Support recruitment, training and ongoing development of team members and act as role model living CFC’s core values
- Ensure team member sickness/absence/holiday records are kept up to date on HRIS
Requirements
- Minimum of 10 years’ experience of handling claims
- At least 5 years handling cyber claims
- Experience in a Responsible Manager role is crucial
- Experience with cross border and international cyber incidents or forensic investigations
- A good understanding of international considerations relating to cyber claims in Australia
- Experienced at working with incident response vendors, in particular legal and forensic providers
- Good understanding of cyber insurance policy wordings
- Knowledge of legal and regulatory requirements specific to Lloyd’s, MGAs and the Financial Ombudsman Service
- Understanding of underwriting strategies and the impact of claims and external events on underwriting practice and business results
- Demonstrable experience within a team leader (people management) role
- Excellent computer skills (including MS Outlook, Word, PowerPoint & Excel)
- Use of ECF an advantage
- Excellent verbal & written communication skills and attention to detail
- Strong stakeholder management experience
- Excellent organisational, research, analytical, problem-solving and drafting skills
- Ability to negotiate and influence effectively
Benefits
- Love what you do: We show up each day ready to take on the world. Our passion and intensity set us apart and makes the difference to our colleagues, customers, brokers and carriers.
- Challenge everything: We’re never afraid to question the way that things are done and we constantly challenge ourselves and others to makes things better.
- Have fun, be good: Insurance is a serious business, but we don’t take ourselves too seriously. We make it fun to work at CFC, we welcome all viewpoints, and we treat everyone how we would expect to be treated.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
cyber claims handlingclaims adjustingquantum analysisforensic investigationscyber insurance policy wordingsclaims reservingvendor managementincident responseperformance appraisalselectronic file management
Soft skills
customer servicestakeholder managementteam leadershipcommunication skillsorganisational skillsproblem-solvingnegotiationinfluenceattention to detailresearch skills