Claims Specialist

Claims Specialist - Claims and Workplace Health

We partner with insurers, self-insurers, schemes, and employers to navigate complex claims environments, drive transformative change, and implement high-impact solutions that elevate performance and embed sustainable claims practices that optimise outcomes, control costs, mitigate risk, and deliver value across the entire claims lifecycle.

Your Opportunity

KPMG's Insurance Claims and Workplace Health practice is seeking a detail-oriented and experienced claims professional with a passion for driving meaningful change in the social-insurance landscape. In this role, you will play a pivotal part in conducting high-volume, high-quality claim reviews that directly influence the performance of personal injury schemes and self-insurers, as well as improve the experiences of injured workers and employers.

• Supporting a variety of exciting and dynamic 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 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.

Your Experience

• 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.

Qualifications

A relevant tertiary qualification in a related discipline, such as allied health, mental health or occupational rehabilitation is desirable but not required.

Additional Information

KPMG is a professional services firm with global outreach and deep sector experience. We work with clients across an array of industries to solve complex challenges, steer change and enable growth. Our people are what make KPMG the thriving workplace that it is and what sets us apart is that we know great minds think differently. You'll build relationships with unique and diverse colleagues who will provide you with the support you need to be your best and produce meaningful and impactful work in an inclusive, equitable culture.

At KPMG, you'll take control over how you work. We're embracing a new way of working in many ways, from offering flexible hours and locations to generous paid parental leave and career breaks. Our people enjoy a variety of exciting perks, including retail discounts, health and wellbeing initiatives, learning and growth opportunities, salary packaging options and more.

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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