Claims Specialist (Disputes)

Insurance dispute role focused on reviewing complex claims

Your new company

You’ll be joining a large, well-established insurer within a highly regulated environment. The business has a strong emphasis on governance, customer outcomes, and independent decision‑making, with a dedicated function focused on reviewing and resolving complex claim disputes.

Your new role

• Manage end‑to‑end review of escalated or challenged claim decisions

• Reassess outcomes using a combination of medical, factual, and policy information

• Engage with complaint processes and ensure alignment with regulatory expectations

• Produce clear, well‑reasoned written decisions for customers and stakeholders

• Support broader dispute activity, including higher‑level escalations as volumes require

• Contribute to identifying themes, risks, and areas for improvement

What you'll need to succeed

• Background in insurance claims, disputes, or complaints within a regulated environment (life insurance or superannuation preferred)

• Experience handling complex or sensitive cases requiring sound judgement

• Ability to interpret policy, evidence, and technical information independently

• Strong written communication skills, particularly in explaining decisions clearly

• Understanding of dispute or complaints frameworks (e.g. IDR/EDR or AFCA exposure beneficial)

• Able to manage workloads in a fast‑moving, time‑bound setting

What you'll get in return

• Immediate contract opportunity with quick turnaround

• Hybrid working (Sydney or Brisbane possible)

• Exposure to complex, technical work outside of frontline claims handling

• Opportunity to operate in a more analytical, decision‑focused capacity

• Strong stakeholder interaction and visibility across the function

• Potential for extension depending on business needs

What you need to do now

If you're interested in this role, click 'apply now' to forward an up-to-date copy of your CV, or contact Joshua Sterling now on ***email_hidden***