
Claims Decision Specialist
1 week ago
About the Role:
The Claims Decision Specialist will be responsible for making informed decisions regarding claim acceptances and rejections, as well as transitioning claims to appropriate case managers for ongoing management.
The role requires strong analytical skills, technical knowledge of relevant legislation, and excellent communication capabilities.
A key responsibility of this position is to calculate PIAWE, advise dispute resolution managers on decision rationale, and identify potential recovery opportunities.
The ideal candidate will possess a strong work ethic, problem-solving skills, and attention to detail.
- Problem solving and decision making
- Work management - attention to detail, organisational and planning skills
- Communication - written and verbal
- Resilience and perseverance
- Strong customer service focus
- Negotiation and influencing
- Continuous improvement and initiative
Required Expertise:
A minimum of 2 years' experience in initial claims assessment or a paralegal/legal assistant position is required. A strong working knowledge of the Workplace Injury Rehabilitation & Compensation Act 2013 and associated Regulations is essential.
This position offers an exciting opportunity to join a dynamic team and contribute to delivering exceptional service to clients.
We offer a range of benefits, including competitive remuneration, career development opportunities, and a collaborative work environment.
Learn more about our company culture and values by visiting our website.
-
Claims Decisions Specialist
4 days ago
Melbourne, Victoria, Australia beBeeDecision Full time $90,123 - $123,456Decision SpecialistAbout the Role:We are seeking a skilled Decision Specialist to join our team. As a key member of our Claims Management team, you will be responsible for making informed decisions regarding claims and transitioning them to Case Managers for ongoing management.This requires strong technical knowledge of relevant legislation and the ability...
-
Claims Decision Expert
2 days ago
Melbourne, Victoria, Australia beBeeExpertise Full time $90,000 - $125,000Eligibility Entitlement SpecialistThe role of Eligibility Entitlement Specialist is a vital part of our team's success in Melbourne. As a key member of our Worker's Compensation unit, you will be responsible for making informed decisions on claims to ensure sustainable and quality outcomes.The successful candidate will deliver an exceptional service...
-
Claims Decision Specialist
2 weeks ago
Melbourne, Victoria, Australia beBeeEligibility Full time $70,000 - $94,400Job OverviewThe Eligibility Officer makes informed decisions on claim acceptance or rejection, transitioning claims to Case Managers for ongoing management. Strong knowledge of relevant legislation and analytical skills are essential.Key Responsibilities:Accept or reject claims based on eligibilityCalculate PIAWE and advise Dispute Resolution...
-
Claims Decision Specialist
2 weeks ago
Melbourne, Victoria, Australia beBeeDecisionMaker Full time $60,000 - $80,000About the RoleThe primary objective of this position is to make informed decisions regarding claims, ensuring a fair and efficient process for all parties involved.
-
Claims Specialist
2 weeks ago
Melbourne, Victoria, Australia beBeeClaims Full time $80,000 - $100,000Job OverviewWe are seeking a highly skilled professional to join our team as an Insurance Claims Specialist. This is a key role that requires expertise in assessing and approving insurance claims, collaborating with internal teams, and ensuring compliance with relevant legislation and policies.The ideal candidate will have a proven track record in a similar...
-
Claims Specialist
6 days ago
Melbourne, Victoria, Australia Safety People Full timeHybrid working conditions offered- 12 Month fixed term contract- Work for a leading food retailerJob Title: Claims Specialist (End to End Case Officer)Our client is seeking an experienced Claims Specialist to join their team on a 12-month fixed-term contract basis. As a "Floating" Claims Specialist, you will backfill portfolios when others are on leave or...
-
Claims Specialist
7 days ago
Melbourne, Victoria, Australia beBeeClaims Full time $90,000 - $120,000As a Claims Specialist, you will be responsible for delivering exceptional customer service and managing life insurance claims from start to finish.The role involves assessing, analysing, calculating and finalising claims payments in accordance with our claims philosophy and procedures.Key responsibilities include:Independently managing a portfolio of life...
-
Claims Resolution Specialist
7 days ago
Melbourne, Victoria, Australia beBeeClaims Full time $65,000 - $90,000Job Title: Claims Resolution SpecialistWe are seeking a highly skilled Claims Resolution Specialist to make initial liability decisions within our quality decision-making framework. The successful candidate will be responsible for assessing the need for referrals and investigative tools to expedite information gathering, ensuring a positive service...
-
Technical Claims Specialist
2 days ago
Melbourne, Victoria, Australia beBeeManager Full time $100,000 - $150,000About the RoleWe are seeking an experienced Technical Manager to provide specialist technical oversight and knowledge to our claims team. Using your unique skillset, you will coach and mentor claims staff on technical claims matters.You will leverage your strong knowledge of worker's compensation legislation to review and endorse sustainable claims...
-
Claims Resolution Specialist
2 days ago
Melbourne, Victoria, Australia beBeeEligibility Full time $75,000 - $100,000Job Overview:We are seeking a Claims Resolution Specialist to coordinate information from key stakeholders, determine claim acceptance or rejection, and communicate decisions with Injured Workers and Employers.This role requires utilizing analytical skills and technical knowledge to make fair and accurate decisions on claims within 28 days. Investigations...