Senior Claims Consultant

MAYDAY Recruitment is partnering with a growing and specialist Third Party Administrator (TPA) operating within the Australian general insurance sector, who are seeking a Senior Claims Consultant. 

This is a rare opportunity to join a business in a true build phase, where you won’t just manage claims - you’ll help shape how the claims function is designed, structured, and scaled.

You’ll work closely with leadership to deliver high-quality claims outcomes while also contributing to team development, process design, and operational strategy.

What’s in it for you?

• Full-time permanent senior role based in Sydney (hybrid working model)
• Opportunity to help build a claims function from the ground up
• Salary ranging from $110,000 - $130,000 plus super, depending on experience
• High-impact role with visibility across executive leadership and client stakeholders
• Exposure to complex and high-value general insurance claims
• Genuine influence over processes, workflows, and team culture
• Strong focus on technical development and leadership growth
• Collaborative, fast-moving environment where ideas are implemented quickly
• Clear pathway into leadership as the team scales

Main responsibilities include:

• Manage a portfolio of complex and high-value general insurance claims from FNOL through to resolution
• Assess coverage, liability and quantum in line with policy wording, legislation and delegated authority
• Set, monitor and review reserves across the lifecycle of claims
• Manage litigation, large loss and complex claims matters where required
• Engage and manage external providers including loss adjusters, investigators, repairers and legal partners
• Ensure service provider performance aligns with SLAs, quality and cost expectations
• Identify recovery, contribution and subrogation opportunities
• Make or recommend settlement decisions within authority, escalating where appropriate
• Provide technical guidance and mentoring to junior claims staff (where applicable)
• Conduct file reviews and support capability uplift across the team
• Contribute to the design and implementation of claims frameworks, processes and authority structures
• Support reporting and insights on claims trends, performance and emerging risks
• Build strong working relationships with MGA clients, capacity providers and key stakeholders
• Act as an escalation point for complex, disputed or sensitive claims matters
• Ensure compliance with AFSL obligations, the General Insurance Code of Practice, and ASIC RG 271 requirements
• Manage Internal Dispute Resolution (IDR) matters and support AFCA escalations where needed
• Maintain high standards of documentation, file integrity and regulatory compliance
• Apply commercial thinking to improve claims outcomes and manage indemnity spend

The ideal candidate:

• Strong experience in general insurance claims (typically 5–7+ years)
• Proven ability to manage complex or high-value claims end-to-end
• Experience in a senior, specialist or team leadership capacity within claims
• Solid understanding of Australian claims regulation (AFSL, IDR/EDR, AFCA, Code of Practice)
• Confident handling litigation, large loss or technically complex matters
• Strong stakeholder management skills, including client-facing experience
• Ability to influence, guide and support others in a developing team environment
• Commercially aware, with a focus on cost, outcomes and risk management
• Comfortable working in a growing business where structure and processes are evolving.

If this sounds like the right next step in your career, apply today.

For more information, please contact michaelak@maydayrecruitment.com