Required skills
communication skills to:
liaise and share information with others
gather and check information
communicate appropriately with people from diverse backgrounds
IT skills to:
use computer applications (word processing, spreadsheet, database, specific purpose computer systems)
access and update records electronically
access web-based information services
numeracy skills to interpret numeric data and relevant statistics and calculate benefit payments
organisational skills to efficiently plan and sequence work
research and analysis skills to:
maintain currency of products and services knowledge
effectively analyse information and data
identify and interpret relevant information
critically evaluate evidence
reading skills to:
read and understand relevant procedures
read and understand group life insurance policies
read and interpret group life insurance claims and supporting documentation
writing skills to:
accurately record information
prepare professional letters and emails
appropriately reference source documents including policy definitions and submitted evidentiary documents.
Required knowledge
with reference to claims against group life insurance policies, it is necessary to be able to apply and explain:
dispute resolution procedures
life insurance administrative requirements
life insurance policy terms and conditions
management of group life schemes
organisational guidelines relating to automatic acceptance under group life insurance policies
organisational procedures
practice and ethics in group life insurance management
practice in prudential risk associated with disability claims in insurance
principles of procedural fairness
procedure and practice in insurance claims investigation
product information
relevant regulatory requirements
role and function of stakeholders and information sources.