High-Level Medical Claim Specialist

2 weeks ago

Sydney, New South Wales, Australia beBeeClaims Full time $120,000 - $150,000

Senior Claims Manager Role

  • We are seeking an experienced professional to manage member claims and investigations in accordance with established protocols and guidelines.
  • This role offers potential permanency and the opportunity to contribute to national process improvements and change initiatives.
  • The successful candidate will provide guidance and technical support to claims staff on optimising claim outcomes, including breach, causation, and quantum principles.
  • They will also educate members, staff, and external bodies on medico-legal, clinical risk, and claims matters as directed.
Key Responsibilities:
  • Manage member claims and investigations in accordance with Avant's protocols and guidelines.
  • Contribute to national process improvements and change initiatives.
  • Provide guidance and technical support to claims staff.
  • Educate members, staff, and external bodies on medico-legal, clinical risk, and claims matters.
Requirements:
  • Tertiary qualifications in law or health.
  • 5+ years' experience in medical negligence law, either in private practice or an insurance environment.
  • Senior claims management experience in a medical indemnity environment is desirable.
  • Advanced understanding of medical indemnity law and insurance principles.
  • Strong financial acumen and leadership skills.
  • Demonstrated knowledge of insurance and health law, with excellent communication and advocacy skills.
  • Strong time management and multi-tasking skills in a legal and/or claims environment.
About This Opportunity

Avant represents 90,000 health practitioners and medical students across Australia, delivering market-leading products and services. Our vision is to be the most trusted professional partner in supporting doctors throughout their lives and careers.

We welcome applications from people of all backgrounds, including Aboriginal and Torres Strait Islander peoples, culturally diverse communities, LGBTQIA+ individuals, people with disabilities, and those with caring responsibilities.

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