Senior Claims Consultant – Strategic Claims Reviewer

KPMGs Insurance Claims and Workplace Health practice partners with personal injury insurers and schemes selfinsured employers and organisations across Australia to improve claims performance customer experience and recovery outcomes for injured people. Our work focuses on navigating complexity strengthening capability and delivering practical outcome driven solutions that make a measurable difference. 

The opportunity 

We are seeking an experienced Claims Professional based in Brisbane to support improved recovery and return to work outcomes for injured workers through targeted strategic claim reviews and strategy implementation. 

This role is not an end-to-end claims management position. Instead you will be responsible for establishing and undertaking structured strategic claim reviews across defined claim cohorts. Your focus will be on assessing claim management to date identifying key risks barriers and missed opportunities and developing and implementing targeted strategies that actively influence positive claim outcomes. 

You will work closely with claims teams and key stakeholders to embed recommended strategies ensuring recovery and returntowork pathways are strengthened decision-making is timely and claims progress in line with best practice and legislative expectations. While you will not hold ongoing ownership of claims your role is critical in shaping claim strategy and driving meaningful outcomes. 

Please note that this is a 12month maximumterm position with the possibility of extension.

Key responsibilities 

In this role you will: 

• Establish and undertake strategic claims reviews across defined claim cohorts focusing on recovery return to work and delivering positive customer experiences.  

• Baseline the current claim management strategy and identify risks gaps barriers and opportunities to improve outcomes 

• Develop clear practical claim strategies and work with stakeholders to support their implementation 

• Influence recovery and RTW outcomes without holding ongoing claim ownership 

• Provide high quality written and verbal commentary that translates evidence based analysis into clear recommendations influencing claim strategy performance and customer outcomes 

• Liaise with injured workers employers medical providers and rehabilitation specialists to support appropriate treatment and recovery pathways 

• Assess medical and rehabilitation information to determine suitable recovery strategies and escalation points 

• Maintain accurate timely documentation and utilise claims management systems effectively 

• Deliver a high standard of customer service aligned to relevant service expectations 

• Contribute to continuous improvement initiatives across claims and returntowork practices 

Skills and experience 

You will bring: 

• 2 years experience in Workers Compensation with strong recovery and returntowork expertise 

• Sound understanding of Queensland workers compensation legislation policy and practice 

• Experience working with injured workers employers and health professionals 

• Strong written and verbal communication skills with the ability to influence outcomes through clear evidence based recommendations 

• High attention to detail and the ability to manage competing priorities in a fast paced performance driven environment 

Qualifications :

Desirable (but not essential): 

• A relevant tertiary qualification in a related discipline such as allied health mental health or occupational rehabilitation is desirable but not required

Eligibility requirements 

• Candidates must not have worked for WorkCover Queensland within the past three (3) years 

• Full working rights in Australia (no visa restrictions) 

• Ability to meet the hybrid attendance requirement in Brisbane 

Additional Information :

KPMG is a professional services firm with global outreach and deep sector experience. We work with clients across an array of industries to solve complex challenges steer change and enable growth. 

Our people are what make KPMG the thriving workplace that it is and what sets us apart is that we know great minds think differently. Collaborate with a team of passionate highly skilled professionals whove got your back. Youll build relationships with unique and diverse colleagues who will provide you with the support you need to be your best and produce meaningful and impactful work in an inclusive equitable culture.

At KPMG youll take control over how you work. Were embracing a new way of working in many ways from offering flexible hours and locations to generous paid parental leave and career breaks. Our people enjoy a variety of exciting perks including retail discounts health and wellbeing initiatives learning and growth opportunities salary packaging options and more.

Diverse candidates have diverse needs. During your recruitment journey information will be provided about adjustment requests. If you require additional support before submitting your application please contact the Talent Attraction Support Team.

At KPMG every career is different and we look forward to seeing how you grow with us.

KPMG Australia: grow with us!

Remote Work :

No

Employment Type :

Contract