Medical Dispute Resolution Expert

2 days ago

Sydney, New South Wales, Australia beBeeDispute Full time $120,000 - $155,000
Dispute Resolution Specialist

Job Summary:

The Dispute Resolution Specialist will be responsible for managing medical disputes, focusing on pivotal aspects like causation, threshold injury, and Whole Person Impairment (WPI). This role ensures compliance with legislation, regulations, and internal KPIs, driving outcomes that matter in Common Law claims.

Key Responsibilities:
  • Identify and evaluate individual and organisational development needs. Deliver individual and group learning and development programs. Expanding and honing expertise in medical disputes
  • Clarifying and managing key stakeholder expectation and allocating 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
  • Identify, report and discuss any emerging risks with the Legal Manager
Requirements:
  • More than 5+ years demonstrated experience in a similar CTP Medical Disputes or Injury Management Specialists role, working within in a fast-paced business environment is desired.
  • Sound medical knowledge (with a background in medical science, physiotherapy, chiropractic, allied health, rehabilitation or similar being advantageous).
  • 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.
Why this role matters:

This position plays a critical role in ensuring the delivery of fair and reasonable claims decisions. The ideal candidate will possess excellent communication skills, sound medical knowledge, and the ability to manage complex disputes effectively.

This is an exciting opportunity for a skilled professional to join our team and make a meaningful contribution to the success of our organisation.

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