Claims Expert

4 days ago

Canberra, ACT, Australia beBeeClaims Full time $80,000 - $110,000

We are seeking a skilled Claims Professional to deliver exceptional customer service and drive business outcomes.

The role is pivotal in making a positive impact for people and communities, as it supports customers through challenging times and finds resolutions that get their lives back on track.

**Key Responsibilities:**

- Manage a portfolio of CTP/MAI claims for customers who have sustained physical or psychological injuries from motor vehicle accidents.

- Proactively work to facilitate recovery and resolve claims within the earliest possible timeframes while achieving optimal outcomes.

- Provide excellent customer service by working with customers, team members, and medical providers to find solutions that meet their needs and business objectives.

- Assess claims for reasonable and appropriate treatment and rehabilitation needs.

- Ensure compliance with legislative requirements and follow all internal policies and procedures.

- Continuously assess Quantum and Estimate of claims using available evidence.

- Calculate settlement offers, negotiate settlements, and attend conferences with legal representatives.

- Collaborate with Injury Management Advisor and Technical Advisor.

- Work with relevant business areas to discuss and action plan file direction.

**Requirements:**

- Previous experience in CTP claims or personal injury claims with a track record of delivering results.

- Ability to demonstrate empathy and understanding for customers.

- Excellent communication skills, including listening, building rapport, communicating complex information, and negotiating with various stakeholders.

- Strong administrative and written skills to effectively manage all aspects of each claim.

- Resilient nature and strong commitment to help meet and exceed customer expectations.

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