Claims and Injury Management Specialist
3 hours ago
Job Title: Claims and Injury Management Specialist
\The role of this position is a critical component within the organisation's claims management framework. This individual will be responsible for ensuring that workers compensation claims, non-work-related injuries, and health conditions are managed in accordance with applicable laws, regulations, compliance codes, guidelines, and corporate policies and procedures.
\This includes processing claims documents, certificates, and invoices in accordance with required timeframes, ensuring compliance with applicable policies and procedures and workers' compensation legislation. The specialist will also liaise with WorkSafe agents, health practitioners, rehabilitation providers, claimants, and relevant parties to ensure efficient claims management and resolution.
\A key focus of this role is to develop and assist in the implementation of outcome-focused workers compensation return-to-work plans in collaboration with injured employees, managers, and healthcare providers, facilitating effective recovery and reintegration into the workplace while minimising claim/premium costs.
\This role requires strong administrative skills, including time management and organisational abilities, as well as excellent communication and negotiation skills to work collaboratively and build working relationships with both internal and external stakeholders in a complex environment to achieve optimal claim resolutions.
\Key qualifications include at least 3 years of experience in workers' compensation management, including hands-on experience in claims and injury management in a complex and large organisation. A Return to Work Coordinator Certification is highly desirable.
\As part of this role, regular case reviews will be conducted, particularly for complex or high-risk claims, and collaboration with the insurer's Injury and Claims Manager and external parties will occur to identify and attempt to resolve any barriers that exist to achieving a full return to pre-injury work.
\Discretion and sound judgment must be applied when managing sensitive matters and confidential information. Expert advice will be provided to managers, employees, and stakeholders on claims and injury management, return to-work legal responsibilities, and obligations to ensure compliance.
\This role involves providing guidance and support to promote recovery at work and the health benefits to various stakeholders. Additionally, it requires a high level of professionalism, integrity, and respect for individuals, as well as the ability to work within a correctional setting which involves direct contact with prisoners.
\Strong understanding of Victorian Workers Compensation and Injury Management legislation is essential, along with the ability to apply this knowledge in a practical and strategic manner to achieve optimal outcomes for the organisation and its stakeholders.
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