Claims Management Review Specialist

6 days ago

Sydney, Australia NSW icare Full time

**Sydney CBD**
- **Investigate and resolve icare’s premium impact complaints as a direct result of 3rd party claims management practices, by reviewing WC claim case files**:

- **Permanent role| Hybrid working environment**:

- **Location: Kent Street| Salary from $125,693 + super, plus benefits**

**About the Role**

Provide a clear understanding of any potential shortfalls noted in the case management processes and practices that may have had a direct impact on ‘best practice’ outcomes and an impact on the unnecessary escalation of premium costs. Work with a specialised premium review team to provide your expertise findings.

**Benefits**
- A corporate wellbeing program with subsidised gym membership, free flu vaccinations and health check programs
- 17.5% annual leave loading
- icare day - access to an extra day’s leave
- Comprehensive learning and development support aligned to icare’s Core Capabilities.
- Our People Awards - On-the-spot Recognition, Quarterly Values Awards & Our People Annual Awards
- Access to our Employee Assistance Program

**Duties**

It’s an exciting time at icare where no two days are the same; as a **Claims Management Review Specialist**you will:

- Process, investigate and resolve complex, sensitive and escalated complaints pertaining to claims and/or policies/premiums.
- Provide clear and consistent guidance to Premium Appeal Team members in order to assist in the determination of premium impact
- Identify potential system failures in scheme agents’ service delivery that may further aid insight and may be used in the recommendation of resolutions.

**Skills & Experience**
- Tertiary qualifications or equivalent training
- Understanding of the management of claims in an empathetic manner
- Extensive understanding of the NSW workers compensation insurance industry
- Current knowledge of NSW legislation
- Applied claims management knowledge

**Culture**

We know our strength comes from the diversity of our people and would encourage people with different experiences and backgrounds to apply. We are committed to our people’s development so the people of NSW can thrive.

**About the Company**

We care for the people of NSW, building confidence and trust so our communities can thrive. We make the complex simple, so our schemes deliver better outcomes for people and communities. Whether a person is severely injured in the workplace or on our roads, icare supports their long-term care needs to improve quality of life, including helping people return to work.
- For more information about icare visit our website
- **icare operates a direct sourcing model so no agency introductions will be accepted**:

- We are a Circle Back Initiative Employer - we commit to respond to every applicant
- A talent pool may be created through this recruitment process.

  • Motor Claims Consultant

    2 weeks ago

    Sydney, Australia Advent Claims Australia PL Full time

    **About Us** Advent Claims Australia is a trusted **Third Party Authority (TPA)** representing one of the world’s leading vehicle fleet organisations. As we enter an exciting growth phase, we are seeking a motivated and experienced **Motor Recovery / Settlements Specialist** to join our friendly, professional team in Sydney's CBD. **What We Offer** -...

  • Senior Claims Specialist

    2 weeks ago

    Sydney, New South Wales, Australia 360 Underwriting Solutions Pty Ltd Full time $120,000 - $140,000 per year

    Senior Claims SpecialistLocation: Sydney CBD – Barangaroo PrecinctCompany: 360 Underwriting SolutionsType: Full-Time | PermanentReady for your next opportunity in Insurance?360 Underwriting Solutions is experiencing significant growth and is seeking a Senior Claims Specialist to join our team in our newly opened, premium harbour-view office in Sydney's...

  • Motor Claims Administration

    1 week ago

    Sydney NSW, Australia Advent Claims Australia PL Full time $60,000 - $72,000 per year

    Van Ameyde Claims Pty Ltd operates under Third Party Authority for world-leading vehicle fleet organisations. We are seeking an experienced and professional Claims Administration Specialist to join our growing team conveniently located in Sydney's CBD.What We OfferCompetitive remuneration packageStrong commitment to work-life balanceGenuine & friendly work...

  • Claims Oversight Specialist

    4 days ago

    Sydney, Australia NGS Super Full time

    **Introduction**: NGS Staff Benefits Before you learn more about the job ad, we encourage you to familiarise yourself with our fantastic NGS Staff Benefits page (link below) to understand our offering which includes Additional Leave Entitlements, Personal & Professional Development and Health & Wellbeing Benefits. About us We are an award winning, national...

  • Claims Specialist

    4 days ago

    North Sydney Council, Australia SURA Pty Ltd Full time $90,000 - $120,000 per year

    SURAis a group of specialist underwriting agencies and forms part of Austagencies. Austagencies Pty Ltd is a company that employs almost 250 industry professionals throughout Australia. We develop products from the ground up to suit specialist needs. We capture details that are often overlooked. Our clients feel safe and secure in the knowledge that their...

  • Claims Specialist

    6 days ago

    Sydney, Australia Haylo People Full time

    Make an impact to rural communities throughout the claims process - $75,000- $85,000 Package - Be recognised and rewarded for your hard work Our client is a reputable family friendly insurance broker, specialising in supporting rural communities. This client has an exceptional reputation and put care at the forefront of all that they do. **The Role** As a...

  • Claims & Insurance Specialist

    2 days ago

    Sydney, New South Wales, Australia NGS Super Full time $80,000 - $120,000 per year

    NGS Staff BenefitsBefore you learn more about the job ad, we encourage you to familiarise yourself with our fantastic NGS Staff Benefits page (link below) to understand our offering which includes Additional Leave Entitlements, Personal & Professional Development and Health & Wellbeing Benefits.NGS Staff Benefits link: About usWe are an award winning,...

  • Specialist, Injury Claims

    2 weeks ago

    Sydney, Australia IAG New Zealand Full time

    Make a difference as a** Specialist, Injury Claims**.**Join the largest insurance group in Australia and New Zealand. **Your Role** Be part of a growing business! We’re looking for a Specialist to join our high performing CTP Claims Team within our Retail Insurance Australia division. You will be responsible for conducting impairment assessments (e.g....

  • Claims & Compliance Specialist

    4 days ago

    Sydney, New South Wales, Australia The Disability Trust Full time $76,000 - $81,000 per year

    About the opportunity:embarc is a leading Disability Employment Services (DES) and Inclusive Employment Australia (IEA) service provider that proudly offers a personal and tailored approach to supporting people with disability, illness or injury on their employment journey.Reporting to the Claims Operations Lead, the Claims and Compliance Specialist is a...

  • Claims Treatment Specialist

    5 days ago

    Sydney, New South Wales, Australia EML Group Full time $80,000 - $120,000 per year

    As part of our diverse team based in Sydney or Newcastle, you'll help make a positive impact on someone's life every day. You'll feel great satisfaction knowing your talent and hard work has a purpose. In the Claims Treatment Specialist - Physiotherapist role, you'll utilise your clinical expertise to review the effectiveness of Worker's physiotherapy...