Long Tail Claims Specialist

7 days ago

Melbourne, Victoria, Australia beBeeClaims Full time $80,000 - $105,000
Long Tail Claims Specialist

We are seeking a highly skilled Long Tail Claims Specialist to manage workers' compensation claims beyond 78 weeks. The ideal candidate will have strong analytical and reasoning skills, with the ability to plan and organize work effectively.

Key Responsibilities
  • Entitlement Review: Assess medical reports, rehabilitation progress, and vocational assessments to determine capacity to return to work beyond 78 weeks.
  • Communication and Customer Service: Serve as main point of contact for injured workers, employers, and healthcare providers. Communicate clearly and empathetically to inform claim status, treatment plans, and return-to-work expectations.
  • Treatment Coordination: Work with healthcare providers to ensure appropriate medical treatment. Approve treatment plans, schedule appointments, monitor progress to facilitate recovery.
  • Payment Processing: Process payments for medical treatment, disability benefits, and other claim-related expenses; ensure accuracy and timeliness.
  • Case Conferences and Reviews: Participate in case conferences with stakeholders to evaluate progress and make informed decisions about the claim.
  • Documentation and Compliance: Maintain accurate records; ensure regulatory and company policy compliance to protect all parties involved.
Required Skills and Qualifications
  • Strong analytical and reasoning skills
  • Ability to plan and organize work effectively to manage timeframes and priorities
  • Experience working concurrently across multiple technology platforms
  • High level of organizational skills and attention to detail
  • Excellent written and interpersonal communication skills
  • Ability to work effectively within a team in an office-based environment
  • Exceptional customer service skills with a focus on delivering high-quality outcomes
  • Sensitivity to issues related to people with medical, cultural, and social needs
  • Australian Citizenship or Permanent Residency required
About This Opportunity

This role offers a unique opportunity to work in a dynamic and supportive team environment. As a Long Tail Claims Specialist, you will have the chance to make a real difference in the lives of injured workers and their families.

The successful candidate will be rewarded with a competitive salary package, including benefits and career development opportunities.

Our organization is committed to providing a safe and inclusive workplace culture, where employees can thrive and reach their full potential.

What We Offer

Our organization values its employees and provides a range of benefits, including:

  • A competitive salary package
  • Ongoing training and professional development opportunities
  • A supportive and inclusive workplace culture
  • A flexible work environment

We believe that our employees are our greatest asset, and we are committed to supporting their well-being and success.

If you are a motivated and experienced claims specialist looking for a new challenge, please submit your application today.

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