Senior Claims Management Professional
3 weeks ago
The Senior Claims Specialist will manage a caseload and associated interventions to achieve optimal recovery and return-to-work outcomes.
Key Responsibilities:- Manage multifaceted cases with advanced claims, injury, and return-to-work management skills
- Apply exceptional stakeholder management skills to achieve optimal outcomes for injured workers, employers, and DXC
- Mentor case managers in strategic and operational support as required
To be successful in this role, you will have an ability to demonstrate:
Requirements:- A strategic, proactive, and innovative approach to case management
- Significant experience in preparing for, attending, and actively participating in claims reviews and clinical case conferences
- Evaluation of injured workers' recovery and liability relevant to the Victorian workers' compensation scheme
- Provision of guidance and support to claims teams on complex claims scenarios and strategies
- Delivery of face-to-face claims management support to injured workers, employers, and stakeholders as required
- Leadership and delivery of cohort-based claims strategies at Team, Practice Group, and DXC levels
- Lead claims management responsibility for platinum and complex customers
- Portfolio responsibilities to support delivery of specific contractual obligations
We are seeking an individual with:
- Resilience and perseverance
- Advanced organisational and planning skills
- Well-developed problem-solving and decision-making skills
- High concern for accuracy and attention to detail
- Strong written and verbal communication skills
- Strong customer service ethic
- Negotiation and influencing skills
- Flexibility and ability to adapt to change
- Ability and desire to work in a team environment
- Significant claims management experience in the Victorian workers' compensation scheme
- Knowledge of medical and paramedical terminology and procedures
- Working knowledge of the Workplace Injury and Rehabilitation Act 2015 and associated regulations
- Intermediate to advanced knowledge of ACCtion and Novus
Salary: $120,000 - $150,000 per annum, plus benefits and bonuses based on performance.
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