Manage best practice frameworks, policies and procedures for insurance governance and insurance risk management for the benefit of members, employers and the Fund.Focus areas:• Develop, implement, monitor and review our Insurance Management Framework. • Maintain, review and update the Fund’s Board approved Insurance Strategy. • Update and maintain insurer Service Level Agreements to ensure appropriate governance arrangements.• Provide oversight and subject matter… Show more Manage best practice frameworks, policies and procedures for insurance governance and insurance risk management for the benefit of members, employers and the Fund.Focus areas:• Develop, implement, monitor and review our Insurance Management Framework. • Maintain, review and update the Fund’s Board approved Insurance Strategy. • Update and maintain insurer Service Level Agreements to ensure appropriate governance arrangements.• Provide oversight and subject matter expertise for insurance related incidents. • Ensure that all fund owned insurance related incidents are recorded quickly and have appropriate owners and actions plans in place.• Maintain and manage the insurer governance processes.• Prepare board and committee papers.• Any other duties as assigned from time to time.• Collaborate to develop a risk profile and management plan for offering insurance benefits to members covering the key risks, indicators and controls.• Ensure appropriate and effective risk management and governance mechanisms are in place across the fund, insurers and administration. Show less

Manage the Insurance Department administration team, enhancing operational structure and processes, so that it delivers timely, complete and accurate data to enable claims to be resolved effectively and efficiently to the benefit of all members.Focus areas:• Lead our insurance claims transformation to deliver commitments to improve our members claims experience and align with the Insurance in Super Voluntary Code of Practice.• Death and declined disability claim review and final… Show more Manage the Insurance Department administration team, enhancing operational structure and processes, so that it delivers timely, complete and accurate data to enable claims to be resolved effectively and efficiently to the benefit of all members.Focus areas:• Lead our insurance claims transformation to deliver commitments to improve our members claims experience and align with the Insurance in Super Voluntary Code of Practice.• Death and declined disability claim review and final sign off, following insurance specialist’s review.• Manage a team of 5 insurance and death claims professionals, providing guidance and leadership.• Coordinate relevant work and collaboration with our administrator and insurers so that insurance services are delivered promptly, accurately and efficiently. • Provide insurance claims, underwriting and product expertise to new product development. • Participate in stakeholder meetings to assist the resolution of workflow, underwriting, claims and other insurance related issues. • Provide specialised insurance knowledge to the Head of the Insurance to assist them make decisions associated with the management of the department effectively. • Participate and coordinate special projects and continual improvement opportunities. Show less

Review and assess terminal illness, total and permanent disablement and income protection claims to determine whether the insurers’ determinations are fair and reasonable and make recommendations to optimise timely management of the claims. Focus areas include• review all aspects of claims to ensure decisions are fair and reasonable• investigate, review and analyse disputes and complaints to ensure efficient handling and resolution• provide guidance, training and instruction… Show more Review and assess terminal illness, total and permanent disablement and income protection claims to determine whether the insurers’ determinations are fair and reasonable and make recommendations to optimise timely management of the claims. Focus areas include• review all aspects of claims to ensure decisions are fair and reasonable• investigate, review and analyse disputes and complaints to ensure efficient handling and resolution• provide guidance, training and instruction to our administrator about any technical claims questions• monitor administrators handling of insurance matters and report to management• manage relationships with insurers to ensure members requirements are met• contribute to building FTC’s capacity through self-development, teamwork, contributing ideas and always acting in best interests of members in accordance with the FTC shared values and code of conduct• approve death claim distributions under delegated authority• undertake research and special projects on superannuation policy, technical and insurance matters including offers to members Show less

Managed all death and disability claims processed by REST and it's Insurers to facilitate payment and ensure the effective review and handling of declined, disputed and litigated claims.Focus areas include• respond and progress all complaints referred to the SCT, liaising with parties involved to seek a mutually acceptable resolution through conciliation• prepare submissions for the SCT review panel, and comment on other parties’ responses.• assess the reasonableness of the… Show more Managed all death and disability claims processed by REST and it's Insurers to facilitate payment and ensure the effective review and handling of declined, disputed and litigated claims.Focus areas include• respond and progress all complaints referred to the SCT, liaising with parties involved to seek a mutually acceptable resolution through conciliation• prepare submissions for the SCT review panel, and comment on other parties’ responses.• assess the reasonableness of the insurer’s decisions.• liaise with REST’s external legal advisers and insurer to manage all litigated matters.• analyse key trends in disputes and litigated matters and make recommendations to the Board.• assist in the preparation and management of REST’s insurance policies.• interpret and understand legislation, policy documents, product, trust deeds and apply their rules to review claims and make recommendations to REST’s Claims Review Committee, Administration Committee and Disputes Committee.• provide guidance, training and instruction to our administrator about any technical claims questions. Show less

Managed the Aon Master Trust's insurance team, providing guidance, leadership and performance management• created and implemented workflow and reporting• resolved and responded to written and/or verbal insurance related complaints and disputes• maintained and track service levels, reporting to management• reviewed and developed template letters, trustee determination reports, forms and procedures

Suggested and created standard letters, forms and trustee reports and workflow to monitor claims. Made initial death claim payee decisions earlier, based on information at hand. These changes resulted in reducing the outstanding claim files from 730 to 246 within 8 months.