Claims Advisor

icare; Parramatta; Hybrid; AUD 70,000 - 100,000; Full time

Benefits offered by this job

Flexible hours

Hybrid work

Gym subsidies

Health checks

EAP support

Career development

Salary packaging

Novated leasing

Inclusive culture

Job summary

icare in NSW is seeking a Client Advisor in CTP Care to manage a portfolio of treatment and care claims, supporting recovery goals and independence for people with significant injuries. You will review medical and claims information, determine appropriate treatment and care within legislative and financial delegations, and coordinate services with health professionals, insurers and service providers.

Hybrid work options and a focus on person-centred outcomes are offered.

Qualifications

• At least three years' experience in personal injury claims.
• Experience identifying, reviewing and coordinating services for people with chronic injury or disability.
• Ability to interpret complex information and make decisions in a legislated environment.

Responsibilities

• Manage a portfolio of treatment and care claims and identify ongoing needs and risks.
• Review medical and claims information to determine appropriate treatment and care.
• Make decisions about reasonable and necessary treatment within the legislative framework.
• Coordinate services to support recovery goals and communicate requirements clearly.

Skills

Personal injury claims

Care coordination

Critical reasoning

Clear communication

Caseload management

Education

Health, disability or personal injury qualification

Job description

Your work helps people with significant injuries build independence, participate in their communities and live the best version of life ahead.

As a Client Advisor in CTP Care, you'll manage a portfolio of clients with treatment and care claims, supporting their ongoing needs and recovery goals. You'll review medical and claims information, identify when intervention or additional support is needed, and make decisions about reasonable and necessary treatment and care. You'll work closely with clients, health professionals, insurers, service providers and internal specialists to coordinate appropriate services and achieve quality, person-centred outcomes.

What you'll be working on

• Manage a portfolio of treatment and care claims, identifying clients' ongoing needs and risks to their health outcomes.
• Review and interpret medical and claims information to determine appropriate treatment, care and support.
• Make informed decisions about reasonable and necessary treatment and care within the relevant legislative framework and financial delegations.
• Coordinate treatment and care services that support clients to work towards the goals in their Recovery Plan.
• Work with clients, insurers, health professionals, service providers and internal specialists to gather information and coordinate appropriate services.
• Communicate decisions and requirements clearly and sensitively, including during complex or difficult conversations.
• Identify complex cases and work with Injury Management Specialists and your Team Leader to determine the appropriate approach.

What you'll bring

• At least three years' experience in personal injury claims.
• Practical experience identifying, reviewing and coordinating services for people and families experiencing chronic injury or disability.
• Strong critical reasoning skills, with the ability to interpret complex information and make sound decisions in a legislated environment.
• Ability to explain treatment and care decisions clearly, both verbally and in writing, and build effective relationships with clients and stakeholders.
• Confidence managing sensitive or difficult conversations with empathy while setting clear expectations.
• Experience managing a caseload using a case management system.
• Sound understanding of the Motor Accident Guidelines and CTP scheme.

Relevant tertiary qualifications in health, disability or personal injury, allied health clinical practice experience, or experience working in the NSW CTP scheme would be advantageous.

What we offer

• Work-life balance: Flexible and hybrid working arrangements
• Health and wellbeing: Gym subsidies, health checks, and EAP support
• Career development: Learning opportunities to grow your skills and career
• Employee benefits: Extra leave, health insurance discounts, salary packaging and novated leasing
• Inclusive culture: Recognition programs, mental health initiatives and support for hidden disabilities

About icare

icare provides insurance and care to the people, businesses and communities of NSW. Our work supports recovery, independence and safer workplaces. We protect homes, public assets; and essential services, and help manage schemes that need to remain fair, affordable and sustainable for the future. We believe the better we do, the better for NSW.