NSW Workers Compensation Insurance Claims Specialist

2 weeks ago

Newcastle, New South Wales, Australia beBeeClaims Full time $70,000 - $95,000
Job Overview

This role involves managing a portfolio of NSW Workers Compensation insurance claims to achieve an early and sustainable return to work with reasonable claim costs. Key elements include proactive management, stakeholder communication, and ongoing reviews.


Key Responsibilities:
  • Proactively manage a portfolio of NSW Workers Compensation insurance claims. This includes conducting thorough assessments and developing effective strategies to drive successful outcomes.
  • Communicate effectively with stakeholders such as workers, employers, doctors, and providers to identify the need for compensation, review coverage, and provide advice. This may involve facilitating complex conversations and negotiating resolutions.
  • Undertake ongoing insurance claim liability and entitlement reviews in relation to weekly payments and medical expenses. This ensures that claims are processed efficiently and fairly.
  • Assist workers and employers with the claim process, providing support in the completion of relevant documents to ensure timely access to required services to support return to work and injury recovery.
  • Monitor, settle, and close out claims within the portfolio. This involves making informed decisions and implementing solutions to resolve claims efficiently.
  • Provide high-level customer service and coordinate with key stakeholders. This includes building strong relationships and delivering exceptional results.
  • Complete administration tasks aligned to the management of a portfolio, including processing payments, reviewing documentation received for the claim, sending relevant correspondence, and recording action taken in line with insurance scheme requirements.
  • Stay up-to-date with developments in relation to workers' compensation insurance coverage and claims management approach, and pass on relevant updates to stakeholders.

Required Qualifications:
  • Experience managing claims in the Australian workers' compensation insurance industry or workers' compensation frameworks overseas. Proven skills in claim assessment, negotiation, and resolution.
  • Knowledge of the NSW workers' compensation scheme, legislation, and policies, or ability to quickly acquire the required knowledge. Strong understanding of insurance schemes and regulations.
  • A high attention to detail and strong organisational skills. Ability to prioritise tasks, manage time, and meet deadlines.
  • Resilience and a willingness to hold complex conversations. Strong interpersonal and communication skills.
  • A passion for collaborative teamwork as well as the ability to work independently. Ability to build strong relationships and work effectively in a team environment.
  • A commitment to supporting injured workers with their recovery and return to work. Empathy and compassion in dealing with sensitive situations.
  • Excellent written and verbal communication skills. Ability to articulate complex information in a clear and concise manner.

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