Claims Management Professional

2 days ago

Melbourne, Victoria, Australia beBeeClaimsManagement Full time $100,000 - $120,000
Job Description

We partner with various stakeholders to navigate complex claims environments, drive transformative change, and implement high-impact solutions that elevate performance and embed sustainable claims practices.

This role involves conducting high-volume, high-quality claim reviews that directly influence the performance of personal injury schemes and self-insurers, as well as improve the experiences of injured workers and employers.

Your Responsibilities
  • Support a variety of exciting and dynamic engagements as a claims specialist.
  • Apply legislative frameworks and clinical guidelines to assess liability, treatment appropriateness, and return to work strategies.
  • Perform targeted claim reviews to drive improved injured worker and claim outcomes.
  • Facilitate case conferences with treating providers to review treatment progress, clarify recovery goals, and discuss alignment with clinical frameworks.
  • Identify claims management gaps, delays, or missed opportunities and provide actionable insights.
  • Deliver a high level of customer service within relevant service charters.
  • Collaborate with internal teams and client stakeholders to ensure alignment on review findings and recommendations.
  • Utilize a variety of claims management systems, maintaining accurate documentation and data entry.
Required Skills and Qualifications
  • Proven expertise in personal injury claims management.
  • In-depth knowledge of workers compensation and/or motor accident legislation and regulatory expectations.
  • Demonstrated ability to critically assess claims and identify opportunities for improved outcomes.
  • Familiarity with conducting targeted claim reviews.
  • Strong attention to detail and written communication skills, with the ability to produce clear and accurate claims notes and summaries.
  • Proven ability to work independently in a high-volume, deadline-driven environment.
  • Exceptional customer service abilities, with a focus on improving customer experiences.
Benefits

KPMG offers a professional services firm experience, collaborating with diverse colleagues who provide support to achieve your best. Enjoy flexible working hours, locations, and generous paid parental leave and career breaks. Access a range of exciting perks, including retail discounts, health and wellbeing initiatives, learning and growth opportunities, and more.

Others

A relevant tertiary qualification in a related discipline is desirable but not required. We embrace diversity and inclusivity, providing adjustment requests during recruitment. Collaborate with passionate professionals who've got your back and take control over how you work at KPMG.

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