The Claims Performance Specialist will play a key role within the Self-insurance Claims Performance team, which forms part of an integral function in supporting the sustainability and oversight of the self-insurance model.
Claims Performance Specialist
- $137,963.00 per annum + 12% superannuation
- Full time, ongoing opportunity
- Wadawurrung/Geelong based role (hybrid work from home – 3 days a week in office)
About the opportunity
The Self-insurance Claims Performance Specialist is required to take a leading role in the development, implementation and evaluation of assigned improvement programs to enhance the effective regulation of Victorian self-insurers. The team is responsible for monitoring and improving the performance of self-insurers by undertaking such activities as the regulatory claims management audit and quality decision making audit.
This is an opportunity to really drive and improve the performance of the self-insurer employers in Victoria, in a role which you can really shape within an autonomous environment.
Key accountabilities:
- Lead and co-ordinate claims management regulatory audits and quality decision making audits of self-insurers
- Co-ordinate the audit process with self-insurer stakeholders, by communicating with self-insurers and providing accurate and timely documentation
- Build and maintain strong relationships with self-insurers and key stakeholders to understand issues and influence outcomes to achieve agreed goals
- Review SISAP (Self-insurer Self-Audit Program) proposals and SISAP reports in collaboration with Portfolio Managers on creating remedial action plans and monitoring these as required to ensure compliance with regulatory requirements
- Actively support and drive your own understanding and that of the broader team in relation to all matters pertaining to the WIRC Act (2013)
- Undertake analysis of audit results and work collaboratively within the branch to enhance knowledge sharing, anticipate and identify trends, issues and/or emerging risks that may impact on the claims management performance of self-insurers
Please ensure you review the Position Description attached for additonal information on accountabilities for this role.
About you
You will have a strong background in dealing with and managing ambiguity, along with proven experience in supporting, managing and delivering change related activities to achieve key objectives.
You will also have a strong ability to be agile and flexible when required, in addition to having excellent time management, prioritisation and organisational skills.
Your strenghts will also include your ability to work autonomously with limited supervision along with your ability to also work collaboratively with your team.
Additionally, you will possess the following skills and experience:
- Technical expertise and knowledge of the Victorian workers' compensation legislation
- Demonstrated knowledge of the legal, policy and claims operational environment governing WorkSafe and confidence to apply this knowledge to the auditing process
- Highly developed analytical and strategic thinking to identify business improvements and opportunities relating to self-insurers' claims management
- Ability to undertake effective audit analysis and develop reports that are clear, concise and effective
- Highly developed facilitation and negotiation skills and the ability to effectively engage, collaborate and build relationships with a diverse range of stakeholders