Fraud SCM at Gallagher

Sydney, New South Wales, Australia -

Full Time

Start Date

Immediate

Expiry Date

11 Jan, 26

Salary

0.0

Posted On

13 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Fraud Assessment, Stakeholder Management, Organizational Skills, Communication Skills, Team Collaboration, Process Improvement, Customer Focus, Trust Building, Coaching, Mentoring, Time Management

Industry

Insurance

Description

Introduction Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND. We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply. Overview Are you an experienced Case Manager ready to expand your skillset or take the next step in your career? We are seeking a Senior Case Manager to join our newly established Fraud team based in the Sydney CBD on this exciting journey. In this role, you will focus on reviewing detected fraudulent claims, starting with Injured Worker Claims before expanding into Employer, and Healthcare Provider types. Working closely with the Fraud Technical and Work Capacity Specialists, you will play a pivotal role in investigating and addressing these claims. If you’re passionate compliance and have strong organisational and stakeholder management skills, we’d love to hear from you! How you'll make an impact What you’ll be doing: Conduct fraud assessments by reviewing and evaluating identified potential fraud claims from other teams, medical records, legal documents, and supporting documentation to determine if individuals have not met the established criteria. Engaging with insured employers, injured employees, rehabilitation professionals, medical practitioners and legal providers in order to achieve the best possible outcomes for all parties; To be a subject matter expert (SME) on Fraud within the team. Continuously seek opportunities for process improvement and engage with all areas of the business to support the ever evolving nature of fraud. Contributing to excellent return to work outcomes and lead the end-to-end claims management life cycle. About you About you: Previous experience in case management within a Workers Compensation setting is mandatory A customer focused approach with the ability to build trust and rapport and can demonstrate a true passion to help people. A team player who enjoys collaboration with the ability to coach and mentor others. Exceptional time management and organisational skills; Highly developed communication skills, with the ability to engage at all levels of organisation Compensation and benefits On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve: 4 weeks annual leave plus up to 2 weeks additional purchased Lifestyle Leave Novated Leasing opportunities Two paid volunteer days annually Health Insurance Discounts with our Group Insurance Plan Employee Stock Purchase Program Paid parental leave Other benefits include: Flexible and hybrid work arrangements Mental Health and Wellbeing Support for yourself and immediate family members Employee Recognition Awards and Service Milestone Recognitions Peer Support Program Annual flu vaccinations Access to Reward Gateway – discount offers at over 350 retailers! And more... We value inclusion and diversity Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Responsibilities

The role involves conducting fraud assessments on identified potential fraud claims and engaging with various stakeholders to achieve optimal outcomes. You will also contribute to process improvements and lead the claims management life cycle.