Sydney Medical Disputes Specialist

2 days ago

Sydney, New South Wales, Australia beBeeDispute Full time
Medical Disputes Specialist Job

We are seeking an experienced Medical Disputes Specialist to join our team. This is a permanent, full-time position based in Sydney.

About the Role

This role involves managing CTP medical disputes, focusing on pivotal aspects like causation, threshold injury, and Whole Person Impairment (WPI). You will ensure compliance with legislation, regulations, and internal KPIs, driving outcomes that matter in Common Law claims.

The WPI and Medical Disputes Specialist will be responsible for maintaining the integrity of data pertaining to medical disputes (i.e. WPI and PIC disputes).

You will have the opportunity to work with a dynamic team and contribute to the growth and success of our organization.

Responsibilities
  • Identify and evaluate individual and organisational development needs.
  • Deliver individual and group learning and development programs.
  • Expanding and honing EML's Medical Disputes capability.
  • Clarifying and managing key stakeholder expectation and allocating appropriate resources to ensure the delivery of effective outcomes.
  • Negotiate terms with external providers and ensure high quality service and delivery.
  • Ensure appropriate attention, management and prevention of risk and governance.
  • Identify, report and discuss any emerging risks with the Legal Manager.
Requirements
  • More than 5+ years demonstrated experience in a similar CTP Medical Disputes or Injury Management Specialists role, working within a fast-paced business environment.
  • Sound medical knowledge (with a background in medical science, physiotherapy, chiropractic, allied health, rehabilitation or similar being advantageous).
  • Training and experience in assessing WPI in accordance with AMA 4 and the Psychiatric Impairment Rating Scale (PIRS).
  • Experience managing internal and external (PIC) medical disputes, including drafting applications, replies and submissions.
  • Strong written and verbal communication skills.
  • A collaborative approach, supporting Claims Managers to deliver fair, reasonable and sustainable claims decisions.
What We Offer
  • A vibrant, collaborative innovative team culture.
  • Flexibility with opportunity to WFH when you are fully trained in your role.
  • A corporate wellbeing program with discounted health insurance and gym membership.
  • Access to discounts at over 350 retailers through our Rewards Hub program.
  • Entitlement to an annual tenure and performance-based recognition reward.
  • Comprehensive learning and development support.
  • Companywide events to celebrate success.
  • Quarterly Reward and Recognition Awards.
  • Up to 16 weeks paid parental leave, plus super.

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