
Expert Medical Dispute Resolver
3 days ago
Dispute Resolution Specialist Opportunity
We are seeking a highly skilled and experienced specialist to manage CTP medical disputes, focusing on causation, threshold injury, and Whole Person Impairment (WPI).
Key Responsibilities:
- Managing internal and external medical disputes, including drafting applications, replies, and submissions;
- Assessing WPI in accordance with AMA 4 and the Psychiatric Impairment Rating Scale (PIRS);
- Negotiating terms with external providers and ensuring high-quality service delivery; and
- Identifying, reporting, and discussing 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;
- STRONG WRITTEN AND VERBAL COMMUNICATION SKILLS;
- A COLLABORATIVE APPROACH, SUPPORTING CLAIMS MANAGERS TO DELIVER FAIR, REASONABLE, AND SUSTAINABLE CLAIMS DECISIONS.
Why Join Us?
We stand together as equals and are committed to maintaining a workplace where everyone feels valued and respected. We offer flexible working arrangements, career development opportunities, and a comprehensive learning and development program.
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