
Chief Claims Reviewer
1 week ago
This position is part of a claims team that partners with insurers, self-insurers, and employers to navigate complex claims environments. The ideal candidate will have experience in personal injury claims management and be able to drive transformative change.
The role involves conducting high-volume, high-quality claim reviews that directly influence the performance of personal injury schemes and self-insurers. It also requires facilitating case conferences with treating providers and identifying claims management gaps.
The successful candidate will have strong attention to detail and written communication skills, with the ability to produce clear and accurate claims notes and summaries.
- Support various engagements as a claims specialist.
- Apply 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.
- Collaborate with internal teams and client stakeholders to ensure alignment on review findings and recommendations.
- 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 written communication skills, with the ability to produce clear and accurate claims notes and summaries.
Our team offers a dynamic and inclusive work environment where you can grow professionally and personally. You'll have access to ongoing training and development opportunities and the chance to collaborate with a diverse group of professionals.
Additional InformationAs a Claims Specialist, you will play a pivotal part in our team's success. If you are passionate about driving meaningful change in the social insurance landscape, we encourage you to apply.
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