Claims Management Specialist
2 days ago
We seek a skilled claims professional to partner with clients in navigating complex claims environments.
This role involves conducting high-volume, high-quality claim reviews that directly influence the performance of personal injury schemes and self-insurers.
As a claims specialist, you will play a pivotal part in driving transformative change in the social-insurance landscape.
Responsibilities- Support dynamic engagements by applying legislative frameworks and clinical guidelines.
- Perform targeted claim reviews to drive improved injured worker and claim outcomes.
- Facilitate case conferences with treating providers to review treatment progress.
- Identify claims management gaps and provide actionable insights.
- Deliver high-level customer service within relevant service charters.
- Collaborate with internal teams and client stakeholders to ensure alignment on review findings.
- Proven expertise in personal injury claims management.
- In-depth knowledge of workers compensation and/or motor accident legislation.
- Demonstrated ability to critically assess claims and identify opportunities for improvement.
- Familiarity with conducting targeted claim reviews.
- Strong attention to detail and written communication skills.
The successful candidate will have a passion for driving meaningful change in the social-insurance landscape.
They will be a highly skilled professional who can work independently in a high-volume, deadline-driven environment.
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