Insurance Claim Specialist

16 hours ago

Brisbane, Queensland, Australia beBeeClaims Full time $75,000 - $105,000
Insurance Claims and Workplace Health Expert

KPMG's Insurance Claims and Workplace Health practice is seeking a detail-oriented and experienced claims professional with a passion for driving meaningful change in the social-insurance landscape.

This role offers a 12-month contract with potential extension. The preferred location is Brisbane, but we also consider Melbourne, Geelong or Sydney.

We partner with insurers, self-insurers, schemes and employers to navigate complex claims environments, drive transformative change and implement high-impact solutions that elevate performance and embed sustainable claims practices optimising outcomes, controlling costs, mitigating risk and delivering value across the entire claims lifecycle.

In this pivotal role, you will play a crucial part in conducting high-volume, high-quality claim reviews directly influencing the performance of personal injury schemes and self-insurers as well as improving the experiences of injured workers and employers.

Key Responsibilities
  • Supporting dynamic engagements as a claims specialist.
  • Applying legislative frameworks and clinical guidelines to assess liability, treatment appropriateness and return to work strategies.
  • Performing targeted claim reviews to drive improved injured worker and claim outcomes.
  • Facilitating case conferences with treating providers to review treatment progress, clarify recovery goals and discuss alignment with clinical frameworks.
  • Identifying claims management gaps, delays or missed opportunities and providing actionable insights.
  • Delivering a high level of customer service within relevant service charters.
  • Collaborating with internal teams and client stakeholders to ensure alignment on review findings and recommendations.
  • Utilising various claims management systems, maintaining accurate documentation and data entry.
Essential Qualifications and Experience
  • Proven expertise in personal injury claims management.
  • Deep 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 and Culture

At KPMG, you'll have access to a variety of exciting perks, including retail discounts, health and wellbeing initiatives, learning and growth opportunities, salary packaging options and more.

Our people enjoy a diverse range of benefits that cater to their needs. We embrace a new way of working, offering flexible hours and locations. Our inclusive and equitable culture supports your career growth and provides opportunities for meaningful impact.

Additional Information

During your recruitment journey, information will be provided about adjustment requests. If you require additional support before submitting your application, please contact the Talent Attraction Support Team.

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