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Claims Management Specialist
2 weeks ago
The ideal candidate will be responsible for managing clinical and liability claims across our hospital network, working closely with legal and hospital teams to drive better outcomes and reduce costs.
- Manage clinical and liability claims in collaboration with external legal teams and hospital executives.
- Provide medico-legal advice and support to hospital staff, ensuring compliance with relevant laws and regulations.
- Maintain accurate claims registers and generate reports for executive and audit purposes, identifying trends and contributing to risk management training.
- Assist in implementing software solutions for tracking legal spend, improving efficiency and reducing costs.
The successful candidate will possess:
- A minimum of 3 years' experience in claims management, preferably within a healthcare or insurance setting.
- Tertiary qualification in law, health, or business, with a strong understanding of litigation and civil procedure.
- Excellent communication and stakeholder engagement skills, with the ability to provide clear and concise advice to hospital staff.
- An analytical mindset, with proficiency in MS Office and Excel, and experience with claims and incident management systems (e.g. Riskman).
- Eligibility to hold a legal practicing certificate, with knowledge of health law and personal injury claims.
This is an excellent opportunity for a highly skilled and experienced professional to join our team and contribute to the success of our organization.
