We are seeking a detail-oriented and experienced claims professional to join our team. Our ideal candidate will have a passion for driving meaningful change in the social insurance landscape.
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In this role, you will play a pivotal part in conducting high-volume, high-quality claim reviews that directly influence the performance of personal injury schemes and self-insurers, as well as improve the experiences of injured workers and employers.
* Supporting a variety of exciting and dynamic engagements as a claims specialist.
* Apply legislative frameworks and clinical guidelines to assess liability, treatment appropriateness and return to work strategies.
* Perform targeted claim reviews to drive improved injured worker and claim outcomes.
* Facilitate case conferences with treating providers to review treatment progress, clarify recovery goals and discuss alignment with clinical frameworks.
* Identify claims management gaps, delays, or missed opportunities and provide actionable insights.
* Deliver high level of customer service within relevant service charters.
* Collaborate with internal teams and client stakeholders to ensure alignment on review findings and recommendations.
* Utilise a variety of claims management systems, maintaining accurate documentation and data entry.
Our ideal candidate will have proven expertise in personal injury claims management, in-depth knowledge of workers compensation and/or motor accident legislation and regulatory expectations, demonstrated ability to critically assess claims and identify opportunities for improved outcomes.
A relevant tertiary qualification in a related discipline is desirable but not required. We offer a flexible work environment with opportunities for growth and development.
KPMG is a professional services firm with global outreach and deep sector experience. We work with clients across an array of industries to solve complex challenges, steer change and enable growth.
We pride ourselves on being a diverse and inclusive workplace where everyone has equal opportunities to grow and succeed. If you're passionate about driving meaningful change in the social insurance landscape, we want to hear from you!