Claims Management Review Specialist

Sydney CBD

• Investigate and resolve icare’s premium impact complaints as a direct result of 3rd party claims management practices, by reviewing WC claim case files
• Permanent role| Hybrid working environment
• Location: Kent Street| Salary from $125,693 + super, plus benefits

About the Role

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 premium costs. Work with a specialised premium review team to provide your expertise findings.

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 Management Review Specialist you will:

• Process, investigate and resolve complex, sensitive and escalated complaints pertaining to claims and/or policies/premiums.
• Interpret and apply relevant sections of legislation, policy, contract and or other operational guidelines to resolve complaints, ensuring a procedural fairness mindset
• Provide clear and consistent guidance to Premium Appeal Team members in order to assist in the determination of premium impact
• Resolve complex problems requiring practical application of knowledge, exercising initiative and judgement.
• Identify potential system failures in scheme agents’ service delivery that may further aid insight and may be used in the recommendation of resolutions.

Skills & Experience

• Tertiary qualifications or equivalent training
• Understanding of the management of claims in an empathetic manner
• Extensive understanding of the NSW workers compensation insurance industry
• Current knowledge of NSW legislation
• Applied claims management knowledge

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.

If you are an employee of icare please apply via Hugo to submit your application. We want to support you with the next step in your career.

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.