Claims Management Review Specialist

5 days ago

Sydney, New South Wales, Australia Nsw Government -Icare Full time

**Sydney**
- Ability to deal with complex claims complaints in Workers Compensation
- Permanent, Full time Opportunity, Sydney, Parra, Wollongong or Gosford
- Hybrid working environment, salary from $120K + super

**About the Role**

This role will 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 costs. Identify potential system failures in scheme agents' service delivery and proactively recommend solutions to assist with resolution.

**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 Complaints Management Specialist**, you will:

- 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 costs.
- Identify potential system failures in scheme agents' service delivery and proactively recommend solutions to assist with resolution
- Together with other Premium Appeals Team Members, participate in customer meetings to deliver claim review findings in layman's terms to aid the customer's understanding.

***Skills & Experience**
- Tertiary qualifications and/or extensive knowledge and experience in claims management and Workers Compensation Legislation
- Strong written and verbal communication and ability to adapt to various stakeholders
- Experience in dealing with complex complaints and claims
- Demonstrate excellent time management skills, high confidentially standards, and have empathy and resilience

**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.

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