The Claims Officer works as part of a Claims team responsible for the management of workers' compensation claims. Claims Officers manage medium to low risk claims including engagement with claimants, employers and medical
providers to achieve return to health and work outcomes.
Role Responsibilities Include
- Corporate Plan and claims management strategy and operating model.
- Apply a well-developed understanding of relevant statutory, regulatory and policy frameworks to a variety of interrelated activities and solutions to a range of problems.
- As part of a team, deliver Claims management services in line with the claims management strategy including the achievement of claims management targets. This includes monitoring claims management activities and compliance with Comcare's rules and objectives. Assist in coaching, guiding and developing less experienced colleagues, as required.
- Manage medium to low risk claims in accordance with approved claim plans, make decisions based on sound judgement, expertise and knowledge, and governed by the application of regulations and procedures.
- Escalate issues where required and drive claims to achieve desired outcomes.
- Undertake work that is moderately complex to complex in nature and operate under limited direction.
- Work across Comcare and our client agencies, to focus on consistent claims management, positive claim outcomes, organising and sharing information and better practice, and resolving conflicts and issues.
- Consult and advise internal and external stakeholders, anticipate and respond to their needs and expectations.
- Act in accordance with Australian Public Service (APS) and Comcare requirements including human resource, financial management and procurement requirements.
Skills and Experience:
- Certificates or competencies in relevant disciplines such as claims or injury management, health, business, administration or finance.
- Demonstrated experience in a similar role
- Ability to manage competing requests, demands and priorities
- Excellent stakeholder engagement and communication skills
- Excellent attention to detail
- Ability to work to tight deadlines and under pressure
- Enjoy working closely with others as the leader of a team
- Adaptable and bring a positive and solutions-focused approach to their work
If you're interested in the above opportunity please apply now using the appropriate link. Otherwise, if you have further questions please contact me at caitlyn.gore@randstad.com.au