Senior Claims Specialist

4 days ago


Sydney, New South Wales, Australia KPMG Australia Full time
Job Title: Senior Claims Specialist

KPMG's Insurance Claims and Workplace Health practice is seeking an experienced claims manager who is passionate about helping insurers, schemes, and employers deliver better claims outcomes and an improved customer experience.

We help personal injury insurers and schemes, life insurers, general insurers, self-insurers, and employers navigate complex business issues, drive change, and implement solutions that enhance performance.

Your Opportunity

In this crucial role, you will be instrumental in crafting innovative processes, tools, and strategies to elevate the effectiveness and efficiency of claims management. Our programs of work include Claims Transformation, Claims Managed Services, Claims Remediation, and Claims Risk and Compliance, including internal audit.

We are excited to offer a rewarding 12- to 24-month max-term contract, during which you will take on significant responsibilities in shaping Insurance Claims & Workplace Health solutions.

Key Responsibilities:
  • Supporting a variety of exciting and dynamic engagements as a claims specialist.
  • Providing advice on factors that influence claims performance and customer experience and recommending ways to improve outcomes.
  • Implementing improvements to enhance all aspects of the claims process.
  • Evaluating legislative and regulatory compliance, addressing non-compliance issues, and suggesting necessary corrective measures.
  • Designing and developing innovative solutions that assist schemes, insurers, and employers in achieving superior claim outcomes. This includes devising new processes, tools, and strategies to streamline and bolster claims management efficiency and effectiveness.
  • Advising on claims requirements for technology solutions.
Experience:
  • Proven expertise in workers' compensation claims management.
  • In-depth knowledge of the NSW workers compensation legislation and regulations.
  • Demonstrated skills in developing effective solutions within a claims management environment.
  • Exceptional customer service abilities, with a focus on improving customer experiences.
  • Familiarity with conducting Pre-Injury Average Weekly Earnings (PIAWE) calculations.
  • Insight into factors impacting insurer / scheme performance and customer satisfaction.
  • Experience in evaluating legislative and regulatory compliance, and crafting initiatives to augment compliance.
  • A keen interest in devising solutions that support schemes, insurers, and employers deliver better claim outcomes.
Qualifications:
  • A relevant tertiary qualification in a related discipline, such as law, business, or health, is desirable but not mandatory.

KPMG is a professional services firm with global outreach and deep sector experience. We work with clients across an array of industries to solve complex challenges, steer change, and enable growth. Our people are what make KPMG the thriving workplace that it is, and what sets us apart is that we know great minds think differently. Collaborate with a team of passionate, highly skilled professionals who've got your back. You'll build relationships with unique and diverse colleagues who will provide you with the support you need to be your best and produce meaningful and impactful work in an inclusive, equitable culture.

At KPMG, you'll take control over how you work. We're embracing a new way of working in many ways, from offering flexible hours and locations to generous paid parental leave and career breaks. Our people enjoy a variety of exciting perks, including retail discounts, health and wellbeing initiatives, learning and growth opportunities, salary packaging options, and more.

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

At KPMG every career is different, and we look forward to seeing how you grow with us.



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