Claims Analyst

Job description

·  Job Description:

Xchanging requires a Claims Analyst to be based in Sydney. This role requires extensive knowledge of how workers compensation claims are managed in the state of New South Wales, both the legislation and the administrative arrangements (how claims managers operate).  The ideal candidate would also have some assurance/compliance  skills. This is a fixed term role until December 2019.

Responsibilities

·  Analyzes insurance and matured endowment claims to ensure compliance with organizational and government guidelines.
·  Maintains an ongoing effort to determine and maintain equity with current claims trends.
·  Conducts analysis of current claims trends and investigates means to improve claim processes. Recommends improvements and implements same as approved.
·  Researches and investigates claims systems to evaluate potential impact to organization. Recommends adjustments or changes to systems as appropriate.
·  Analyzes claims financial reporting practices and reconciliation for client companies. Identifies issues and recommends alternative courses of action.
·  Informs management of potential liabilities or process improvements related to current claims practices.

It is expected that you will possess the following:

·  Bachelor's degree or equivalent combination of education and experience
·  Experience with investigating internal claims practices
·  Experience working with appropriate claims processing procedures and documentation, and administrative procedures, legislative requirements, and medical principles as they relate to examination and approval of life and disability insurance claims
·  Knowledge of NSW legislation, icare policies and guidelines.  Prefer two years of experience working in claims agent or similar
·  Understanding of internal control framework testing and monitoring;
·  Knowledge of claims agent systems
·  Computer skills: Outlook and knowledge of the Microsoft Office Suite
·  Problem solving and decision making
·  Communication skills – both verbal and written
·  Work management – highly organised, time management skills, high degree of accuracy and attention to detail
·  Negotiation and influencing
·  Ability to work within a team and autonomously
·  Customer service

Applicants must possess work rights to work in Australia.