Claims Advisor

icare; Sydney; Híbrido; AUD 80 000 - 110 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Flexible and hybrid working

Health and wellbeing subsidies

Employee benefits

Career development opportunities

Inclusive culture

Resumo da oferta

icare is seeking a Client Advisor to join the CTP Care team in NSW. You will manage a portfolio of treatment and care claims, review medical information, and coordinate services to support recovery goals in a person-centred way.

You will work with clients, health professionals and insurers to determine appropriate treatment and care within legislative guidelines, building relationships and communicating decisions clearly and sensitively.

Qualificações

• Three years' experience in personal injury claims.
• Experience identifying, reviewing and coordinating services for people with chronic injury or disability.
• Strong critical reasoning and ability to interpret complex information.
• Ability to explain treatment and care decisions clearly, both verbally and in writing.
• Experience managing a caseload using a case management system.
• Understanding of Motor Accident Guidelines and the NSW CTP scheme.

Responsabilidades

• Manage a portfolio of treatment and care claims and identify ongoing needs and risks.
• Review and interpret medical and claims information to determine appropriate treatment and care.
• Decide on reasonable and necessary treatment and care within legislative and financial delegations.
• Coordinate services to support clients toward Recovery Plan goals.
• Collaborate with clients, health professionals, service providers and internal specialists.
• Communicate decisions clearly and sensitively, including in complex conversations.
• Identify complex cases and work with Injury Management Specialists and Team Leader to determine approach.

Conhecimentos

Personal injury claims

Case management

Critical reasoning

Client communication

Empathy in difficult conversations

Formação académica

Tertiary qualifications in health, disability or personal injury

Ferramentas

Case management system

Descrição da oferta de emprego

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.