Claims Insights Specialist

2 weeks ago

Haymarket, New South Wales, Australia beBeeCoordinator Full time $60,000 - $80,000

Our business is dedicated to delivering exceptional outcomes for our customers, who require expert insights and case coordination services.

We are seeking a proactive and engaging professional with insurance and/or allied health experience to provide claims insights and support for our clinical panel.

The successful candidate will be responsible for building rapport with customers, medical advisors, and other stakeholders to ensure seamless case delivery and outstanding customer satisfaction.

Liaising with external customers, you will understand referral requirements, timeframes, and critical issues; summarise key clinical information and allocate cases to the most suitable advisor based on available data.

You will coordinate case conferences involving customers, medical advisors, and other stakeholders within agreed timelines and attend meetings as required to ensure deliverables are met.

Additionally, you will provide comprehensive case coordination, maintaining regular communication with internal and external stakeholders, and gathering feedback to drive continuous service improvement.

Other responsibilities include providing weekly status updates to the management team on customer trends and utilisation rates, supporting new advisor onboarding, and ensuring operational consistency in service delivery.

Responsibilities:

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