Marise Thomson

A CTP Claims Consultant is responsible for managing and assessing claims made under Compulsory Third Party insurance, which covers personal injuries resulting from motor vehicle accidents. The role involves:

• Reviewing, processing, and assessing CTP claims to ensure they meet legislative and policy requirements.
• Liaising with claimants, legal representatives, medical professionals, and internal teams to gather information and facilitate claim resolution.
• Applying sound judgment to determine liability, assess entitlements, and make recommendations on claim outcomes.
• Providing empathetic and professional support to injured parties, ensuring clear communication and timely updates throughout the claims process.
• Maintaining accurate records, preparing reports, and ensuring compliance with regulatory standards.
• Working closely with colleagues and external stakeholders to achieve fair and efficient claim outcomes.

Company Overview: Chubb’s operation in New Zealand (Chubb Insurance New Zealand Limited) offers corporate and commercial property & casualty, group personal accident and corporate travel insurance products. Chubb also serves successful individuals with substantial assets to insure and consumers purchasing travel insurance.

• Managing and evaluating a portfolio of complex and often high value claims to ensure all policy terms and conditions have been met, requiring a high level of attention to detail, good judgement and critical thinking skills.
• Autonomous decision making up to $300k, requiring accurate interpretation of New Zealand legislation and a high degree of knowledge and skill.
• Communicate effectively with a broad range of clients, internal stakeholders, government agencies and other legal entities ensuring a high level of empathy while building a network of professional relationships. Strong listening skills ensure clarity of needs and requirements.
• Review and assess claims to ensure terms and conditions are met and adhered to, whilst understanding the emotion created by those decisions, displaying a high level of empathy and emotional awareness, courageous conversations are key to this.
• Manage all financial transactions accurately with high attention to detail, utilizing Apollo (in-house software system).
• Undertake all investigations using a high level of accuracy to ensure that the policy terms and conditions are being met and appropriate strategies and rehabilitation are being implemented to enable clients to make a full return to work.

• Company Overview: Our vision is to create a unique partnership with every New Zealander, improving their quality of life by minimising the incidence and impact of injury. We touch the lives of a large number of New Zealanders. The health, rehabilitation and service providers who help people who are injured, the businesses, vehicle owners and workers who contribute to the Scheme, and any New Zealander or visitor to New Zealand who's injured in an accident. Our role is to make sure that all these groups’ needs are met, and making sure our clients get the right care at the right time, while keeping levies fair and stable. The Accident Compensation Act 2001 sets out how we run.
• Managing a portfolio of serious injury claims in a timely and cost-effective manner while improving employment outcomes for seriously injured clients, liaison with relevant stake holders to ensure the needs of the client and employer are being addressed.
• Effective communication with a wide range of organisations, specialists and clients such as medical professionals, rehabilitation providers and client advocate’s across all walks of life.
• Monitoring the provision of support services and equipment to ensure client outcomes are achieved in accordance with policy terms and conditions.
• Development of unique client plans with interventions and goals that reflect individual client needs for an effective return to work.
• Able to develop strong and trusted relationships with other professional services like doctors, occupational therapists and physiotherapists to evaluate a client’s requirements, with the aim to determine what rehabilitation services and equipment may be required with the key focus on adherence to terms & conditions.