Senior Claims Consultant

5 days ago

Sydney, New South Wales, Australia beBeeClaims Full time $100,000 - $120,000
Job Description">

We are seeking a detail-oriented and experienced claims professional to join our Insurance Claims and Workplace Health practice.

As a Claims Specialist, you will play a pivotal part in conducting high-volume, high-quality claim reviews that directly influence the performance of personal injury schemes and self-insurers, as well as improve the experiences of injured workers and employers.

  • Supporting a variety of exciting and dynamic 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.
  • Facilitate case conferences with treating providers to review treatment progress, clarify recovery goals and discuss alignment with clinical frameworks.
  • Identify claims management gaps, delays, or missed opportunities and provide actionable insights.
  • Deliver high level of customer service within relevant service charters.
  • Collaborate with internal teams and client stakeholders to ensure alignment on review findings and recommendations.
  • Utilise a variety of claims management systems, maintaining accurate documentation and data entry.

You will have proven expertise in personal injury claims management, in-depth knowledge of workers compensation and/or motor accident legislation and regulatory expectations.

The ideal candidate will have 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, and exceptional customer service abilities.

A relevant tertiary qualification in a related discipline is desirable but not required.

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