Case Manager
Core
Manage a portfolio of insurance claims from assessment to resolution, developing rehabilitation plans and authorizing payments to support customer recovery and wellbeing.
Role type
Claims Case Manager
Builds
Insurance claims resolution and customer rehabilitation outcomes
Domain
Insurance / Health / Rehabilitation
Deliverable
client delivery
Required skills
claims processing, case management, risk assessment, fraud investigation, policy interpretation, financial and medical information analysis, stakeholder engagement, decision-making, organizational skills
Preferred skills
experience in insurance, health, rehabilitation, or financial services
Responsibilities
Assess and manage a portfolio of claims, develop and implement individual case management and rehabilitation plans, build strong relationships with customers and medical providers, authorise payments and maintain accurate records, identify and manage potential risks and fraud indicators, contribute to team initiatives and process improvements