Medical Disputes Resolution Specialist

5 days ago

Sydney, New South Wales, Australia beBeeDispute Full time $130,000 - $170,000
Job Description

As a pivotal member of our team, you will be responsible for managing medical disputes, focusing on key aspects such as causation, threshold injury, and Whole Person Impairment (WPI). Your role will ensure compliance with legislation, regulations, and internal Key Performance Indicators (KPIs), driving outcomes that matter in Common Law claims.

The WPI and Medical Disputes Specialist will maintain the integrity of data pertaining to medical disputes, ensuring accurate and reliable information. You will have the opportunity to work collaboratively with stakeholders to deliver effective outcomes.

Key Responsibilities:
  • Identify and evaluate individual and organisational development needs.
  • Deliver individual and group learning and development programs.
  • Expand and hone EML's Medical Disputes capability.
  • Clarify and manage key stakeholder expectations and allocate appropriate resources to ensure the delivery of effective outcomes.
  • Negotiate terms with external providers and ensure high-quality service and delivery.
  • Ensure appropriate attention, management, and prevention of risk and governance.
Required Skills and Qualifications:
  • More than 5+ years demonstrated experience in a similar CTP Medical Disputes or Injury Management Specialists role, working within a fast-paced business environment.
  • Sound medical knowledge, with a background in medical science, physiotherapy, chiropractic, allied health, rehabilitation, or similar.
  • Training and experience in assessing WPI in accordance with AMA 4 and the Psychiatric Impairment Rating Scale (PIRS).
  • Experience managing internal and external (PIC) medical disputes, including drafting applications, replies, and submissions.
  • Strong written and verbal communication skills.
  • A collaborative approach, supporting Claims Managers to deliver fair, reasonable, and sustainable claims decisions.
What We Offer

We stand together as equals. Our culture celebrates diversity and inclusion. We are committed to maintaining a workplace where everyone feels valued and respected.

Employee Benefits:
  • A vibrant, collaborative, and innovative team culture.
  • Flexibility with the opportunity to work from home when fully trained.
  • A corporate wellbeing program with discounted health insurance and gym membership.
  • Access to discounts at over 350 retailers through our Rewards Hub program.
  • Entitlement to an annual tenure and performance-based recognition reward.
  • Comprehensive learning and development support.
  • Company-wide events to celebrate success.
  • Quarterly Reward and Recognition Awards.
  • Up to 16 weeks paid parental leave, plus superannuation.

Our employees are valued, and we invest in their professional development and provide generous employee benefits.

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