Expert Claims Reviewer

7 days ago

Geelong, Victoria, Australia beBeeClaims Full time

Job Opportunity

About the Role

This role is an exciting opportunity for a detail-oriented and experienced claims professional to join our team. As a Claims Specialist, 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.

  • You will support various engagements as a claims specialist, applying 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 customer service within relevant service charters.
  • Collaborate with internal teams and client stakeholders to ensure alignment on review findings and recommendations.
  • Utilize various claims management systems, maintaining accurate documentation and data entry.
Your Experience

We are seeking candidates with:

  • 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.
What We Offer

We offer a dynamic work environment, opportunities for growth and development, and a competitive remuneration package. Our team values diversity and inclusion, and we welcome applications from candidates with diverse backgrounds and experiences.

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