Internal Review/Dispute Specialist - CTP
Core
Conduct independent reviews of disputed CTP Care decisions, analyzing claims and medical evidence to ensure fair, evidence-based outcomes aligned with the Motor Accident Injuries Act 2017.
Role type
Senior IC dispute resolution specialist (insurance/health)
Builds
Clear, well-reasoned written decisions and improved dispute processes
Domain
Insurance / Personal Injury / Health Law
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Legal or allied health qualifications, understanding of Motor Accident Injuries Act 2017, experience reviewing decisions in legislative environments, critical thinking, analytical skills, stakeholder engagement, written and verbal communication
Preferred skills
Experience in NSW CTP Scheme, managing disputes with Personal Injury Commission (PIC)
Technologies
N/A
Responsibilities
Conduct independent reviews of disputed CTP Care decisions, Analyse claims information and medical evidence, Apply Motor Accident Injuries Act and Guidelines, Liaise with legal stakeholders and the Personal Injury Commission, Identify trends and risks to improve decision-making quality
Seniority
Senior, hands-on IC