Claims Specialist

11 hours ago

Melbourne, Victoria, Australia KPMG Australia Full time
Overview

Join KPMG's Insurance Claims and Workplace Health practice as a Claims Specialist in Claims and Workplace Health. This is a 12-month max-term contract with potential for extension. Location: Brisbane is preferred; Melbourne, Geelong, or Sydney may also be considered.

You will support a variety of engagements, conducting high-volume, high-quality claim reviews that influence the performance of personal injury schemes and self-insurers, and aim to improve the experiences of injured workers and employers. We partner with insurers, self-insurers, schemes, and employers to navigate complex claims environments and deliver sustainable claims practices across the lifecycle.

Responsibilities
  • Support a variety of engagements as a claims specialist.
  • Apply legislative frameworks and clinical guidelines to assess liability, treatment appropriateness, and return-to-work strategies.
  • Perform targeted claim reviews to drive improved injured worker and claim outcomes.
  • Facilitate case conferences with treating providers to review treatment progress, clarify recovery goals, and discuss alignment with clinical frameworks.
  • Identify claims management gaps, delays, or missed opportunities and provide actionable insights.
  • Deliver a high level of customer service within relevant service charters.
  • Collaborate with internal teams and client stakeholders to ensure alignment on review findings and recommendations.
  • Utilise a variety of claims management systems, maintaining accurate documentation and data entry.
Qualifications
  • Proven expertise in personal injury claims management.
  • In-depth knowledge of workers compensation and/or motor accident legislation and regulatory expectations.
  • Demonstrated ability to critically assess claims and identify opportunities for improved outcomes.
  • Familiarity with conducting targeted claim reviews.
  • Strong attention to detail and written communication skills, with the ability to produce clear and accurate claims notes and summaries.
  • Proven ability to work independently in a high-volume, deadline-driven environment.
  • Exceptional customer service abilities, with a focus on improving customer experiences.
  • A relevant tertiary qualification in a related discipline (e.g., allied health, mental health, or occupational rehabilitation) is desirable but not required.
Additional Information

KPMG is a professional services firm with global reach and sector experience. We work with clients across industries to solve complex challenges, steer change and enable growth. We're committed to diversity and inclusion, and we support adjustment requests during recruitment. If you require additional support before submitting your application, please contact the Talent Attraction Support Team.

This role is a 12-month max-term contract. Location: Brisbane preferred; Melbourne, Geelong, or Sydney considered.

EEO and Diversity

Diverse candidates have diverse needs. During your recruitment journey, information will be provided about adjustment requests. If you require additional support before submitting your application, please contact the Talent Attraction Support Team.

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