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Lump Sum Technical Specialist

Gallagher - Adelaide, SA

Insurance & Superannuation
Source: uWorkin


Full Job Description
Your Role
Life at GB is an adventure - often fast paced, unpredictable, challenging and deeply rewarding. It is social and engaging, with our unique and positive culture underpinned by The Gallagher Way - values lived daily by our people.
This role is responsible for managing business measures that impact Lump Sum Benefits. You will be able to demonstrate strong business acumen to achieve outcomes against performance measures. You will also be responsible for coaching our business in identifying appropriate medical information and evidence to support our customers access to Lump Sum Benefits. Your role will also require you to Act as a technical support and subject matter expert to internal stakeholders including our customer facing staff in which will include providing support for potential serious injury claims and discussions.

You will add value to Gallagher Bassett across the following:
Develop, monitor and action Tableau reporting relevant to early identifications of claims likely to have a Lump Sum entitlement.
Provide high quality customer service to all areas of the business by acting as the subject matter expert for Impairment Assessment Guidelines, pre-requisite requirements for high risk surgeries, Maximum Medical Improvement (MMI), Lump Sum entitlements, Whole Person Impairment and Serious Injury
Attend case conferences and file reviews with internal and external stakeholders
Continuously identify areas for improvement in relation to early referral to the IB team
Meet performance targets whilst maintaining compliance with relevant Acts, RTWSA Claims Operational Guidelines, Gallagher Bassett policies, procedures and controls
Undertake reviews of claims and provide support and education to various stakeholders and
Present KPI Results and be able to review and propose future targets
Develop and facilitate training using various platforms (web-ex), power point to all areas of the business
Work closely with all staff to provide guidance and support for our customers to progress their lump sum assessments and possible serious injury applications. Using negotiating and influencing skills to influence stakeholders to achieve mutual targets.

We're interested in hearing from people who possess:
Experience with complex and high risk claims that impact the RTW Scheme
Be capable of developing strategies to manage business KPI's
Strong understanding and interpretation of medical terminology
Developed technical knowledge regarding claims strategies and determinations
Demonstrated ability to interpret, apply and coach legislation and case law handed down
Demonstrated claims management experience with Serious Injury and Lump Sum Benefits
Strong, independent drive and accountability
Proactive approach and organisation skills to challenges as they present
Ability to build strong business relationships and ability to influence changes.
If you live our values and demonstrate the people capabilities, we can not only offer you great career opportunities, but on a day to day you'll experience the following:

True flexible work hours including RDO's/9 day fortnight
Staff referral incentive
Opportunities for ongoing education and development
Service recognition awards to celebrate your contribution to the company
Employee assistance program for yourself and your immediate family members
Staff benefits program with a wide range of discounts on offer
The opportunity to work for a company that gives back to the community through our Gentle Bear program
A fun, supportive and inclusive working environment

A brief overview on GB:
Gallagher Bassett is Australia's largest Third Party Administrator (TPA). Our focus is refreshingly simple: we manage insurance claims on behalf of insurers, brokers, government bodies and self-insured corporations.
Gallagher Bassett (GB) has six offices in Australia located in Northern Territory, Adelaide, Perth, Brisbane, Melbourne and Sydney, employing over 1000 staff.
GB values its employees and offers a friendly, comfortable working environment that facilitates a Work and Life Balance!
If this sounds interesting to you - we want to connect!
If you think you can make a positive difference to our business please apply - we want to hear from you today!!
GB is an Equal Opportunity Employer and as a member of the Diversity Council Australia, we recognise the importance of, and embrace diversity in the workplace.
To be considered for this opportunity you must have the right to live and work in Australia when applying.
Agency applicants will not be considered for this role.

Additional Information