Case Manager - Medically Complex Claims

Summary about this job

Detail information about job Case Manager - Medically Complex Claims. Terms and conditions vacancy

• Work with market leading systems
• Have a direct positive impact on your customers lives
• Portfolio Management and Claims Assessing

Your new company
This market leading insurance organisation are seeking an experienced Mental Health Claims Consultant to join their passionate Workers Compensation team. This company are currently in a great position within the market and are offering huge opportunity for career progression and stability, alongside a competitive salary. This is an exciting, permanent opportunity to join this company on their rewarding and successful journey.

Your new role

• Develop strong customer relationships and provide a high level of customer service to all parties including workers, employers, providers/stakeholders and families/support networks
• Tailored and empathetic delivery of adverse outcomes to all relevant stakeholders, with a solutions focus wherever possible
• Make decisions based on an authorisation framework (eligibility and weekly payments, treatment/services, work capacity decisions, entitlement decisions and application of legislation).
• Manage the closure process for cases
• Engagement and collaboration with client on all litigated matters and SLM matters
• Proactively identify and plan pre and post-hospitalisation needs including hospital rehabilitation, ADL assessments, family support and transportation.
• Managing and responding to complex treatment and surgery request (in line with the authorisation delegation)

What you'll need to succeed

• Tertiary studies in Allied Health (Occupational Therapy, Physiotherapy, Rehabilitation, Nursing, Psychology or Exercise Science) advantageous.
• Insurance/workers insurance experience and/or relevant community or clinical based experience of coordinating services for people with serious injuries or disabilities
• Holistic view of injury /claims management with the ability to engage with all stakeholders such as workers, employers, providers and family

What you'll get in return
On offer is the chance to join a continuously growing organisation, offering endless opportunities for a successful and rewarding career, with a good reputation for looking after their staff. You will gain the opportunity to work with some of the industries most valued people and leverage of such exposure. You will be provided with on-the-job training and inductions, and continuously supported in career development thereafter.

What you need to do now
If you're interested in this role, click 'apply now' to forward an up-to-date copy of your CV, or call Shane Finnerty now on