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Claims Specialist Expert
2 weeks ago
Claims Professional Opportunity
We are seeking a detail-oriented and experienced claims professional to join our team in navigating complex claims environments, driving transformative change, and implementing high-impact solutions that elevate performance and embed sustainable claims practices.
This role requires a passionate individual with expertise in personal injury claims management, legislative frameworks, and clinical guidelines to assess liability, treatment appropriateness, and return-to-work strategies.
- Conduct high-volume, high-quality claim reviews to directly influence the performance of personal injury schemes and self-insurers.
- 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.
- Facilitate case conferences with treating providers to review treatment progress, clarify recovery goals, and discuss alignment with clinical frameworks.
- 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.
