Injury and Claims Advisor

2 weeks ago

Melbourne, Australia Metro Trains Melbourne Full time

4 December 2024

Melbourne Full Time

Metro gets you where you need to go. Shaping our future to be a world-class, sustainable railway for Melbourne is made possible by our people who make a positive difference to every journey.

We strive to reflect the community we serve and support the needs of our people who are critical to our success.With Zero Harm at the foundation of everything we do, we want everyone to get home safely.

We act as one team to move Melbourne.

Why work for Metro?
- Vibrant and Ambitious Team: A collaborative team of passionate people who are dedicated to delivering projects that improve the safety and reliability of Melbourne’s rail network
- Work-Life Balance and Hybrid Working: We encourage flexibility and wellbeing; you will manage your own schedule and we will support you to thrive in your role. MTM supports flexible working arrangements.
- Benefits: Free Myki travel across Victoria and other great corporate discounts

Melbourne is Australia’s fastest growing city - a city that is becoming increasingly reliant on public transport networks. Since 2009, Metro proudly continues to operate and maintain a world-class train service and network through to delivering significant transport projects that will shape how Melbourne moves. With Zero Harm at the foundation of everything we do, we want everyone to get home safely. We are one team, helping to connect and shape a better Melbourne.

Due to growth and expansion, weare looking for an Injury & Claims Advisor to provide proactive case management of workers compensation claims, supporting ill and injured employees through early intervention and ongoing engagement. This role will ensure MTM meets injury management compliance requirements and return-to-work obligations by collaborating with relevant stakeholders and supporting injured employees to safely and sustainably remain at or return to work as soon as appropriate.

This role involves managing all aspects of workers' compensation claims, from initial lodgement through to resolution, ensuring compliance with relevant legislation and organisational policies, including representing Metro at conciliation conferences.

Key Areas of Responsibility
- Develop return-to-work plans in collaboration with injured employees, managers, and healthcare providers, facilitating effective recovery and reintegration into the workplace.
- Provide expert advice to managers, employees, and stakeholders on claims and injury management, and return to-work policies to ensure compliance with the Workplace Injury Rehabilitation and Compensation Act 2013
- Act as the primary contact for the WorkSafe Agent, healthcare providers, legal teams, and other external stakeholders to ensure efficient claims management and resolution.
- Track and analyse claims performance, identifying trends, monitoring costs, and providing actionable insights to improve claims management processes.
- Conduct regular case reviews, particularly for complex or high-risk claims, and collaborate with the Injury and Claims Manager and external parties to identify and attempt to resolve any barriers that exist to achieving a full return to pre-injury work.
- Support the Injury and Claims Manager in managing legal aspects of claims, including data collation, and reporting for common law claims and other legal defences.
- Timely notification to payroll of workers’ compensation claims and relevant entitlements and timely management of Insurer reimbursements and under excess payments.
- Notify payroll of workers’ compensation claims, verify PIAWE calculations, and oversee reimbursements and accident compensation payments.
- Handle all employee medical and injury-related information with confidentiality, maintaining a high standard of professionalism in managing sensitive claims.

About You
- Minimum 2 years of experience in workers' compensation management, including

direct involvement in claims management and injury management.
- Tertiary qualifications in Occupational Rehabilitation, Personal Injury Management, Allied Health, or Mental Health
- Demonstrated ability to remain impartial while managing multiple complex claims independently, ensuring effective return-to work outcomes.
- Detailed knowledge of current WorkCover legislation, particularly in Victoria.
- Knowledge of Health Assessment Standards and regulations would be an advantage
- Experience in the development and continuous improvement of workplace injury and claims management programs within large or complex environments
- Requirement to work onsite a minimum of 3 days per week.
- Excellent organisational, planning and time management skills, with an ability to prioritise and manage workload, meet deadlines, and adapt to changing circumstances.
- Strong negotiation and stakeholder management experience towork collaboratively and build strong working relationships with both internal and external stakeholders in a complex and politically and industrially sensitive environme

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