Senior Claims Specialist
Senior Claims Specialist
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Job Description
We have an amazing opportunity for a Senior Claims Specialist who will be responsible for managing and administering a national portfolio of Workers Compensation claims across the Viva Energy Group in accordance with the relevant legal requirements that apply in each jurisdiction and self-insurance framework in Victoria. This role will be based in Melbourne.
As the Senior Claims Specialist you will provide advice to line managers and team members regarding the claims management process and the legal obligations of the parties. This role is responsible for liaising and driving insurers to drive best practice outcomes as well as end-to-end claims process including claims receipt determination of liability claims lodgement communication with all parties and ongoing claims management including supporting return to work management and rehabilitation payroll investigations medical assessments reporting claims reviews accounts authorisation and payment. You will also participate in audits and internal quality assurance reviews.
Responsibilities & Requirements
- Responsible for the end-to-end claims process including claims receipt determination of liability claims lodgement communication with all parties and ongoing claims management including supporting return to work management and rehabilitation payroll investigations medical assessments reporting claims reviews accounts authorization and payment.
- Drive insurers to achieve best practice outcomes
- Responsible for ensuring that information pertaining to the rights of team members and the claims process are readily available in the workplace.
- Prepare regular periodic reports providing insights to the Workers Compensation Manager.
- Ensure early engagement with Health to ensure strategies are being considered to optimise the outcomes of return-to-work plans.
- Responsible for the pro-active engagement and management of third-party service providers including rehabilitation providers and investigators.
- Responsible for the preparation of material for audits and the active participation in the auditing of claims management processes.
- Actively participate in industry events relating to workers compensation innovations best practice and regulatory changes.
Qualifications :
- Experience in managing a claims portfolio with expertise in managing an operating model ideally in both self-insurance and schemes and setting the standard for managing claims through a person-centered approach.
- Strong working knowledge of the Workplace Injury Rehabilitation and Compensation Act 2013 (WIRC Act)
- High desirable: Experience in other any other national jurisdictions.
- Demonstrated experience of and understanding of Workers Compensation claims management model
- Prior experience in applying injury management and workers compensation best practice to complex workplace injuries and claims.
- Experience in managing disputed matters.
- Demonstrated ability to manage third party supplier service level agreements.
- Demonstrated ability to work inclusively with all stakeholders.
Additional Information :
We welcome applicants from diverse backgrounds including Aboriginal and Torres Strait Islander people and encourage and support diversity in our traditional and non-traditional roles.
Please note: This role is being sourced through Viva Energy Australia therefore we will not be accepting applications via external recruitment agencies.
Applications Close 24 July 2025
Remote Work :
No
Employment Type :
Full-time
Employment Type
Full-time
