Claims Insights Specialist

2 days ago

Sydney, New South Wales, Australia beBeeInsights Full time $90,000 - $120,000

We are seeking a proactive and engaging professional to provide insights and coordination for cases referred to our clinical panel. Our unique capabilities support customers in achieving the best possible health, employment and claim outcomes.

Main Responsibilities
  • Liaise with external customers to understand referral requirements, case time frames and critical issues.
  • Screen incoming referrals, summarise key clinical issues and allocate cases to medical advisors based on available information.
  • Coordinate and schedule case conferences involving medical advisors, customers and stakeholders within agreed timeframes.
  • Provide comprehensive case coordination, ensuring deliverables are met in accordance with agreed timeframes and regular communication is maintained with internal and external stakeholders.
  • Work closely with medical advisors on referral allocation, availability, scheduling and report progress and finalisation.
  • Issue finalised reports and invoices via appropriate systems and gather customer feedback to drive continuous service improvement.
  • Provide weekly status updates to management team on customer referral trends and medical advisor utilisation, availability and work in progress.
  • Assist in the onboarding of new medical advisors, including induction on operational processes.
Key Requirements
  • Strong relationship-building skills and ability to liaise with various stakeholders.

Our team values professionals who can build strong relationships and communicate effectively.

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