Claims Management Specialist
2 weeks ago
Job Summary:
The Claims Management Specialist will oversee a portfolio of cases and implement effective interventions to achieve optimal recovery and return-to-work outcomes for injured workers.
This role requires advanced claims, injury, and return-to-work management skills, as well as exceptional stakeholder management abilities to deliver successful outcomes for all parties involved.
In this position, you will work closely with case managers to provide strategic and operational support, recognizing the critical impact your role has on the lives of injured workers during difficult times.
- A forward-thinking approach to case management that drives innovation and results.
- Proven experience in preparing for, attending, and actively participating in claims reviews and clinical case conferences to facilitate successful outcomes for injured workers.
- Evaluating aspects of an injured worker's recovery and liability relevant to the Victorian workers' compensation scheme, while completing ongoing reviews related to entitlements and payments.
- Providing guidance and support to claims teams in interpreting complex claims scenarios and developing strategies for delivering timely interventions.
- Delivering face-to-face claims management support to injured workers, employers, and relevant stakeholders to achieve successful return-to-work outcomes.
- Leading and implementing cohort-based claims strategies at team, practice group, and organizational levels.
- Taking on lead claims management responsibility for high-profile and complex customers.
- Resilience and perseverance in the face of challenging situations.
- Advanced organizational and planning skills to manage multiple priorities effectively.
- Well-developed problem-solving and decision-making skills to drive successful outcomes.
- High attention to detail and commitment to accuracy.
- Strong written and verbal communication skills to engage stakeholders effectively.
- Strong customer service ethic to deliver exceptional experiences.
- Negotiation and influencing skills to build strong relationships.
- Flexibility and adaptability in response to changing circumstances.
- Significant experience in claims management within the Victorian workers' compensation scheme.
- Knowledge of medical and paramedical terminology and procedures, including forms of treatment applicable to injuries.
- Strong working knowledge of the Workplace Injury and Rehabilitation Act 2015 and associated regulations.
- Intermediate to advanced knowledge of ACCtion and Novus.
We offer a range of benefits to support your career growth and well-being, including:
- Extensive resources for professional development through DXC University.
- Recognition and reward programs to celebrate individual and team achievements.
- Flexible leave options to balance work and personal life.
- Charitable and emergency services volunteer days to give back to the community.
- Employee Assistance Program to support mental health and well-being.
We are committed to fostering a culture of inclusion, belonging, and corporate citizenship. If you share our values and are passionate about delivering exceptional results, we encourage you to apply for this opportunity.
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