The Company:
An established organisation in the life insurance space is seeking an experienced Claims Specialist to join a small, highly engaged team. This is a permanent role created to strengthen technical capability and support increasing claim volumes.
This opportunity will suit someone who enjoys owning their work, handling complex claims, and being trusted to make recommendations – not just process tasks.
The Role:
You’ll be one of two people in the claims function, managing both direct and partner claims, with a strong focus on escalations and complex matters. The business is moving from a reactive to a proactive approach, and this role is central to that shift.
Key responsibilities include:
- Managing two claims queues (direct and partner claims)
- Proactively prioritising and progressing claims to avoid delays and escalations
- Handling inbound claims-related phone calls
- Acting as the go-to contact for claim status updates and explanations
- Preparing clear, well-reasoned claim recommendations for approval
- Managing escalated claims and confidently pushing back where required
- Interpreting and applying the Administration Act in complex scenarios
- Navigating deceased estates, beneficiaries, and situations involving unclear executors or wills
About You:
- Proven experience in life insurance claims (medical or health claims also considered)
- Strong knowledge of claims legislation and processes, particularly the Administration Act
- Experience managing complex and escalated claims
- Exposure to deceased estates and beneficiary matters (or the confidence to upskill quickly)
- Confidence making recommendations and owning claim outcomes
- Comfort working in a small, fast-moving environment
What’s in it for you?
- An opportunity to be the senior claims specialist within a small team
- Clear progression potential toward a future leadership or manager-level role
- $85,000 – $90,000 salary
- 2 days work from home
Apply Now!
We are receiving a high volume of applications currently. To ensure your application is reviewed in full, we recommend you apply through this job ad directly. If you have any additional questions, please feel free to get in touch with Alex on 027 206 4432 for a confidential chat.
To apply for this vacancy you MUST be a New Zealand citizen, resident, or have already secured the right to work in New Zealand and therefore hold a valid visa.
At the appropriate stage we will request your references, we ask that you do not include them on your CV when applying.
At Tribe we have our guiding light to show us the way. We bring our whole selves to work. We encourage inclusion in every single interaction. We genuinely care about people and are curious about their stories. We celebrate all points of view. We will help you find your tribe, the same way we have. We’re all on a journey together so come along…