Insurance Claims Case Manager

4 days ago

Sydney, New South Wales, Australia beBeeClaims Full time $100,000 - $130,000

Insurance Claims Coordinator Role

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This position involves providing claims insights and case coordination for cases referred to our Clinical Insights Panel.

Liaise with customers and internally with Medical Advisors to support fair and reasonable case outcomes for public liability cases.

  • Screen incoming referrals to ensure all relevant medical documentation is present; summarise key clinical issues and allocate cases to the most appropriate Medical Advisor based on available information.
  • Coordinate case conferences involving Medical Advisors, customers, and other stakeholders within agreed timeframes and attend as required.
  • Provide comprehensive case coordination; ensuring deliverables meet timeframes and regular communication is maintained with internal and external stakeholders.
  • Work closely with Medical Advisors on referral allocation, availability, scheduling, and report progress and finalisation to maintain visibility on caseload and capacity.
  • Issue finalised reports and invoices via appropriate systems and gather customer feedback for continuous service improvement.
  • Provide weekly status updates to management on customer referral trends and Medical Advisor utilisation, availability, and work in progress.

To succeed in this role, you will bring:

  • Relationship/account management experience in personal injury, insurance, or compensable healthcare sectors.
  • Demonstrated claims management and/or case management experience.
  • Strong interpersonal and communication skills to build rapport with diverse stakeholders.
  • Excellent organisational skills to work within set timeframes.
  • Current satisfactory Police Clearance, Working with Children check, drivers license.
  • Experience and sound knowledge of Medical and Allied Health Services is desirable.

Key Responsibilities and Requirements

The ideal candidate will have:

  • Proven ability to coordinate complex case activities with multiple stakeholders.
  • Strong analytical and problem-solving skills.
  • A high level of attention to detail and accuracy.
  • Effective communication and interpersonal skills.
  • Able to work independently and as part of a team.

About the Position

This is an exciting opportunity to join our dynamic team as an Insurance Claims Coordinator. If you are looking for a challenging and rewarding role where you can utilise your skills and experience, apply now

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