Senior Claims Advisor

at  National Injury Insurance Agency Queensland

PLEASE NOTE: two roles are available with fixed term temporary and permanent arrangements possible.

Your roleLead and proactively manage a portfolio of files, including catastrophic injuries, in accordance with legislative, regulatory and procedural guidelines to achieve cost effective and timely claim resolutions, ensuring compliance with legislative and regulatory requirements.Provide high level specialised advice in relation to the Scheme legislation, policy and specific claim matters.Deliver and undertake full reviews of individual cases at lifetime participant stage to put forward recommendations for acceptance or rejection with close consideration to the legislative requirements. This includes new assessments, liaising with external parties, support planners and managers.Support and assess the eligibility of interim and/or lifetime applications that includes thorough and collaborative decision making and assessment of all aspect of a participant’s medical evidence for interim eligibility.About youTo be successful in this role you will demonstrate a strong commitment to shared values, and a broad skillset that includes:

• Extensive knowledge and expertise in proactively managing a portfolio of motor vehicle injury claim files in accordance with legislative, regulatory and procedural guidelines.
• Demonstrated experience and work history in claims management with catastrophic injuries.
• Strong planning and administrative skills to effectively and independently manage all aspects of each claim within legislated timeframes and requirements, including assessing compensation entitlements and initiating a range of correspondence.
• Excellent communication skills, ability to build rapport, communicate complex information, and influence and negotiate with a variety of stakeholders including claimants, third party providers, external bodies and internal teams.
• A proven track record in making sound decisions and recommendations based on relevant evidence in relation to serious personal injuries and complex claim matters in a statutory environment.

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• Extensive knowledge and expertise in proactively managing a portfolio of motor vehicle injury claim files in accordance with legislative, regulatory and procedural guidelines.
• Demonstrated experience and work history in claims management with catastrophic injuries.
• Strong planning and administrative skills to effectively and independently manage all aspects of each claim within legislated timeframes and requirements, including assessing compensation entitlements and initiating a range of correspondence.
• Excellent communication skills, ability to build rapport, communicate complex information, and influence and negotiate with a variety of stakeholders including claimants, third party providers, external bodies and internal teams.
• A proven track record in making sound decisions and recommendations based on relevant evidence in relation to serious personal injuries and complex claim matters in a statutory environment