Recovery Support Specialist

The Recovery & Support Specialist is responsible for providing technical advice guidance and support to the Claims team on return to health/return to work matters to assist in reaching desired claims durations and outcomes.

A key focus of the role is to optimise recovery outcomes within the IP and TPD portfolios and support Claims Consultants to build their capability to develop return to health and work strategies and implement activities to adequately address barriers to return to health / work. 

• Ensure compliance with TAL policies procedures and guidelines procedures ensuring claims management is in accordance with the TAL claims philosophy. 
• Adherence to external regulations (eg. Privacy and Life Insurance Code of Practice) and all relevant legislation and industry guidelines. 
• Contribute towards a culture of process improvement. 
• Contribute to department and company projects as required.
•  Other adhoc duties as required.

Recovery Support

• Act as a subject matter expert to:
• Supporting the Claims Manager to use effective communication with treating health practitioners to drive the best health outcomes for the customer
• Assisting Claims Consultants to analyse and summarise medical reports and other related information that may not require TAL Medical Officer opinion so that a clear strategy is developed for the claim in collaboration with relevant stakeholders
• Where medical opinion is obtained from the Health Services team assist the Claims Consultant to practically implement the outcome of this opinion
• Conduct targeted reviews on IP and TPD claims with the Team Manager to identify appropriate strategies and activities within TALs claims philosophy claims procedures and Health Connect Frameworks
• Liaise with the preinjury employer in relation to the identification of suitable or equivalent preinjury duties and return to work planning
• Oversee third party vendor quality and performance contribution in conjunction with Health Services to ensure appropriate service delivery for Claims / are aligned with claims strategies and provide performance reporting to Claims team and Health Services
• Support Client Managers in their reporting to funds and attendance at fund meetings related to rehabilitation activities and outcomes as required
• Collaborate with the Health Services team to ensure a consistent best practice approach for recovery & support is implemented across Claims
• Review the quality of referrals made to support services providers.

Team Capability

• Drive processes to support the identification of claims at risk of prolonged recovery identify modifiable barriers to return to health and work and implement strategies leading to successful claim outcomes
• Coach Claims Consultants in planning for and executing contact with internal and external stakeholders on medical and return to work matters to ensure the timely and quality management of claims
• Support the Team Manager in development planning for individuals to uplift their capability across medical occupational functional and rehabilitation components of TALs capability framework
• Provide input to Team Manager reporting and insights for Claims Leadership on effectiveness of recovery and support services including customer stories
• Deliver training as required.

Qualifications :

• At least 4 years demonstrated experience in a similar role within an Occupational or Vocational Rehabilitation field or other allied health discipline.
•  Ability to identify and develop strategies to overcome biopsychosocial issues.
•  Knowledge and experience working in compensable disability management environment (Life incl. IP and TPD CTP Workers comp etc. (Desirable).
• Demonstrated experience in the provision of effective rehabilitation services desirable.
• Experience in coaching and imparting knowledge including an uplift of skills of case managers desirable.
• Strong written and verbal communication negotiation and influencing.
• Demonstrated ability to provide excellent customer service to a wide range of clients and stakeholders.

Additional Information :

At TAL we value diversity in all its forms and are committed to fostering an inclusive and equitable culture for all our people. We encourage Aboriginal and Torres Strait Islander people individuals from all backgrounds including those with caring responsibilities people living with disability and individuals from the CALD and LGBTQI communities to apply. Even if you dont check every box in the criteria above we encourage you to apply today or get in touch with us here.   

To provide you with the best experience we can accommodate you at any stage of the recruitment process. Simply inform our Recruitment team at any time.  

TAL is recognised by the Workplace Gender Equality Agency as an Employer of Choice.  We are proud to be a member of Diversity Council Australia and the Australian Network on Disability. For information on our reconciliation journey take a look at our Innovate Reconciliation Action Plan.  

We acknowledge the Traditional Custodians of the Land in which our Head Office is based the land of the Gadigal people of the Eora Nation and recognise their deep connections to the land sea and culture.  
We extend this acknowledgment to the many Traditional Lands that we operate across and pay our respects to Elders past present and emerging. 

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Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct when you come to work every day. Risk management is everyones responsibility.

If you are already a TAL employee please apply via the SmartRecruiters button in Workday and navigate to the Employee Portal. This is important to ensure that your application is recorded accurately.