Case Management Specialist
Summary: Managing claims & ensuring compliance, fostering strong relationships & contributing to continuous improvement of icare's claims processes.
Location: Gosford
* Permanent opportunity as a Case Management Specialist with icare
* Hybrid working environment, office in Gosford NSW
* Offering starting salary of $99,938
About the Role
As a Case Manager Specialist at icare your primary responsibility is to manage a portfolio of claims, some of which are complex, providing high-level support to workers, employers and other stakeholders. The role focuses on managing a variety of claims, ensuring compliance, fostering strong relationships and contributing to continuous improvement of icare's claims processes while delivering the best care for the people we serve. Candidates may also be considered for claims advisor roles in a competitive interview process.
Benefits
* A corporate wellbeing program with subsidised gym membership, free flu vaccinations and health check programs
* 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 Case Management Specialist you will:
Case Management
* Take ownership of a varied portfolio of claims, including complex claims, from initial lodgement through to service delivery and closure, providing relevant advice and support in completing relevant documents.
* Exercise sound judgement in selecting service providers, ensuring adherence to payment procedures and fee schedules. Undertake daily decisions concerning claim liability, compensation benefits payment, and injury management plans, emphasising high‐level problem resolution.
* Act as a point of guidance for associates dealing with cases, demonstrating leadership in problem‐solving.
Claims Complexity
* Handle a varied portfolio of claims, including complex claims independently, demonstrating a growing ability to navigate intricate cases such as serious complex physical injuries, psychological injuries, disputes, and nuanced customer behaviours.
Customer and Communication
* Provide strategic communication to stakeholders, ensuring clear and accurate information dissemination on claims, entitlements, and available options.
* Lead and facilitate communication with medical, rehabilitation, and treatment providers, ensuring a coordinated and consistent approach in complex cases.
Documentation and Record Keeping
* Keep up to date with relevant legislation, injury management initiatives, and policies/procedures.
* Conduct regular quality assurance reviews of claims activities.
Skills & Experience
* Minimum 1 year as an Advisor or minimum 3 years of relevant industry experience in personal injury, life insurance or workers compensation working on complex cases preferred.
Please note that you must be an Australian citizen, permanent resident of Australia, New Zealand citizen with a current New Zealand passport, or have unrestricted working rights to apply for this role.
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