Job Title: Claims Specialist
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We are seeking a detail-oriented and experienced claims professional to play a pivotal part in conducting high-volume, high-quality claim reviews that directly influence the performance of personal injury schemes and self-insurers.
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This is a 12-month max-term contract with the potential for extension. The role can be based in Brisbane, Melbourne, Geelong or Sydney.
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* Conducting high-volume, high-quality claim reviews to drive improved injured worker and claim outcomes.
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* Applying legislative frameworks and clinical guidelines to assess liability, treatment appropriateness and return to work strategies.
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* Performing targeted claim reviews to drive improved injured worker and claim outcomes.
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* Facilitating case conferences with treating providers to review treatment progress, clarify recovery goals and discuss alignment with clinical frameworks.
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* Identifying claims management gaps, delays, or missed opportunities and providing actionable insights.
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* Delivering high-level customer service within relevant service charters.
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* Collaborating with internal teams and client stakeholders to ensure alignment on review findings and recommendations.
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* Utilising a variety of claims management systems, maintaining accurate documentation and data entry.
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Required Skills and Qualifications:
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* Proven expertise in personal injury claims management.
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* In-depth knowledge of workers compensation and/or motor accident legislation and regulatory expectations.
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* Demonstrated ability to critically assess claims and identify opportunities for improved outcomes.
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* Familiarity with conducting targeted claim reviews.
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* Strong attention to detail and written communication skills, with the ability to produce clear and accurate claims notes and summaries.
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* Proven ability to work independently in a high-volume, deadline-driven environment.
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* Exceptional customer service abilities, with a focus on improving customer experiences.
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Benefits:
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* A competitive salary package.
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* Ongoing training and professional development opportunities.
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* The opportunity to work with a dynamic and supportive team.
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Working with Us:
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We value diversity and inclusion and encourage applications from diverse candidates. During your recruitment journey, information will be provided about adjustment requests. If you require additional support before submitting your application, please contact us.
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We are committed to providing a safe and inclusive work environment. We welcome applicants from all backgrounds and encourage those who share our values to apply.
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