Insurance Claims
Processor
Claim lodgement, follow-up and documentation at volume — from $14/hr + GST.
What an Insurance Claims Processor does
Claims are process-heavy and detail-critical. A claims processor lodges, documents and chases at volume, so nothing stalls and clients stay informed.
Every StaffingSolutions.io insurance claims processor is recruited, hired and managed by us — reference-checked for your tools, working your business hours, and backed by our zero-risk promise: no placement fee, money-back first week, and a free replacement if the fit isn't right.
What they handle
- Claim lodgement — accurate and prompt.
- Documentation — gathered and checked.
- Insurer follow-up — chased to resolution.
- Client updates — clear status comms.
- Claims register — maintained.
- Settlement admin — finalised cleanly.
A week in the role
Runs open claims from lodgement through to settlement administration for a broker or a business carrying claim volume. Cover checked against the schedule, evidence collected, assessors booked, insurers chased and the client told where things stand. Coverage and liability decisions stay with the insurer and the licensed claims manager.
Takes the loss details, checks the risk was on cover at the date of loss against the policy schedule, lodges with the insurer through their portal or Sunrise Exchange, then registers the claim in WinBEAT, Insight or Ebix Evolution.
Reads the schedule and wording to identify the section, sub-limits, applicable excess and any endorsement or warranty affecting the claim, and puts a written summary to the claims manager, who confirms the coverage position.
Chases what the insurer needs — quotes, tax invoices, photographs, police event number, proof of ownership, medical certificate, incident report — and follows up the client until the file is complete instead of sending it part built.
Books the loss adjuster or assessor inspection with the site contact, provides them the claim file and supporting evidence, and follows up the report so the claim does not sit for weeks on an inspection nobody chased.
Arranges the smash repairer, builder, restoration contractor or hire car through the insurer's preferred supplier network, obtains authority numbers, and tracks the repair through to completion with dates the client can plan around.
Runs the diary in the broking system so every open claim carries a next action date, chases the insurer at the agreed intervals, and sends the client a status update before they have to ask for one.
Prepares the settlement figures against the claim documentation, checks the excess and any underinsurance adjustment has been applied as the insurer advised, and passes the payment request to the licensed staff member who authorises it.
Builds the recovery file where another party is at fault — statements, photographs, repair costs, registration and driver details — issues the recovery correspondence the claims manager approves, and tracks the response through to conclusion.
Maintains the claims register for each client, produces the claims experience report showing open and closed claims with reserves and amounts paid, and prepares it for the broker's renewal submission to the market.
Lodges the injury claim with icare, WorkCover Queensland or the relevant scheme agent, collects certificates of capacity and wage details, and keeps return-to-work plan documentation and review dates current for the client's coordinator.
Records the complaint, gathers the file chronology and correspondence, and refers it immediately to the licensed claims manager for internal dispute resolution — never makes or communicates a decision on liability, quantum or declinature.
Reconciles insurer settlement remittances against the claims register, identifies claims paid but not closed and closed but not paid, and follows up the insurer each month on the outstanding items.