Comcare Case Manager

Primary Details

Time Type: Full time

Worker Type: Employee

Provide delivery of Comcare claims service, determining proper policy coverage to conclude, investigate, evaluate and negotiate assigned cases.

Your part in a changing world

At QBE, our purpose is to enable a more resilient future.

We’re an international insurer and reinsurer with a local presence in 27 countries.

Leveraging our deep expertise and insights, QBE offers commercial, personal and specialty products and risk management solutions to help people and businesses manage risks, build strength and embrace change to their advantage.

We’ve been cultivating resilience since 1886, when our founders started a marine insurance company in Townsville, Australia to give early pioneers a safeguard against uncertainty.

Today, we employee more than 11,600 people around the world, and our product portfolio includes property, motor, crop, energy, marine and aviation insurance.

The opportunity

In this position, you will:
- Ensure compliance with provisions of the Safety Rehabilitation and Compensation Act and Regulatory requirements- Provider Payments - ensure swift authorisation and payment of accounts for service providers; Record payments on Claims Management System- Registration and determination of new and ongoing workers compensation claims- Claims management -manage and review a portfolio of claims- Approve claims in accordance with delegated limits and legislation- Fortnightly payroll authorisations- Oversight of the determination of Normal Weekly Earnings (NWE) in accordance with The Safety Rehabilitation and Compensation Act 1988; Ensure payments are authorised and processed within strict timeframes- Claim review meetings - Prepare up to date summary reports of claims for client which displays effective management- Engaging with diverse stakeholders from medical professionals and service providers to ensure a smooth and solutions focused approach across your portfolio.- Respond to client requests in accordance with service standard- Provide information and feedback on claims activity to the client to enable appropriate actions to be carried out- Developing case management plans that stipulate goals and activities.- Encouraging and monitoring approved treatment and treatment plans- Interpreting and actioning medical and financial reports and managing and instructing investigations and implementing findings in terms of the overall strategy- Managing and negotiating cost effective treatment and rehabilitation in conjunction with the client- Identify suspicious or potentially fraudulent claims, notify supervisor, arrange investigation and brief solicitors if further action is to be taken- Assist/prepare files for litigation and submit administrative reports as required

Your story so far- You will have undertaken formal training in the provisions of the SRC Act 1988- You will have an insurance background where you have provided a world class customer service experience and have shown passion to grow and develop- The ability to handle multiple and competing tasks to meet customer needs- A highly empathetic approach to dealing with customers, possessing the ability to be friendly yet professional- You will be self-motivated with excellent organisational skills

We are here to support you

We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As an QBE employee you will have access to and benefit from:
- ‘Hybrid Working’ - a mix of working from home and in the office to enhance your work/life balance- Our ‘At My Best’ wellbeing program, including free holistic wellbeing coaching, nutritional, confidential counselling, financial and legal advice- 12 weeks’ gender-equal flexible leave for all new parents, including paid super- The ability to maximise retirement savings through voluntary super contributions and company matching- Income protection insurance & reimbursed Death and Total Permanent Disability insurance premiums-
- Discounts on insurance products, car hire, hotels, goods and services including benefits through our various sports and arts sponsorship partners

We value our employee’s experience with us and are proud to have been recognised for the following awards:
- 2021 LinkedIn Top Employer & HRD Employer of Choice- 2020 Best Workplace Diversity & Inclusion and Excellence Award for Best Health & Wellbeing at the Australian HR Awards- Gold Employer status for 2019 & 2020 Australian Workplace Equality Index (AWEI) - the definitive national benchmark on LGBTI workplace inclusion- Ranked 6th place in the AAGE Top Graduate Employers 2021 as voted by graduates- Top 20 Workplaces for Dads in 2019 and 2020 (HBF Direct Advice for Dads)

Join us.

QBE recognise the value of diverse perspectives and experience. We are committed to an inclusive workplace where everyone feels valued and respected for who they are. If we can provide support with access requirements, alternati