Expert Claims Resolutions Professional

2 days ago


Adelaide, South Australia beBeeClaims Full time $100,000 - $120,000
Job Title

Aso6 Claims Manager

Job Description

Claims Resolution and Management Expertise

This is a challenging opportunity for an experienced claims resolution and management professional to join our team. As a Claims Manager, you will be responsible for managing and resolving claims and compensation related issues through participation in grievance and dispute resolution.

You will represent the Agency on legal and compensation matters within delegation of authority, including negotiation and representation at the SA Employment Tribunal and with claimants and their representatives, ensuring timely and cost-effective resolution of disputes.

In addition, you will deliver prompt, efficient, cost-effective and equitable claims and compensation services, including consultancy, claim determinations, monitoring and approval of costs inclusive of treatment and income maintenance, negotiation and resolution of disputes, to DCP, meeting all legislative requirements and accreditation standards.

You will also develop and maintain best practice and innovative approaches to claims and compensation, ensuring equity, diversity and individual needs of the injured worker are considered and reducing the impact of work-related injury to the individual and the organisation.

Responsibilities
  • Report Analysis and Improvement

    Review and prepare reports to identify opportunities for improvement with a focus on continuous improvement and best practice.

  • Implementation Support

    Contribute to the implementation of IM plans, programs and strategies that support the Agency's strategic priorities.

Ideal Candidate / Qualifications
  • Legislative Knowledge

    Demonstrated knowledge of injury management legislation, regulations, standards, policies and practices, with familiarity across other state and national frameworks desirable.

  • Time Management and Organisation

    Exceptional time management and organisational skills with a proactive mindset and excellent attention to detail.

  • Collaboration and Stakeholder Engagement

    Demonstrated ability to work collaboratively with multiple stakeholders (employees, managers, medical professionals and insurers).



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