Claims Treatment Specialist (Physiotherapy)
Core
Review and approve physiotherapy treatment requests for injured workers, negotiate with treating providers, and optimize treatment management processes to support worker recovery.
Role type
Senior clinical specialist (physiotherapy) in claims management
Builds
Allied Health Treatment Requests (AHTRs) and optimized treatment pathways for injured workers
Domain
Personal injury insurance / Workers compensation
Required skills
Clinical physiotherapy assessment, negotiation with providers, file review, knowledge of SIRA Clinical Framework, disability management best practices, workers compensation legislation
Preferred skills
Experience in workers compensation insurance sector, musculoskeletal injury focus
Technologies
Microsoft Office suite
Responsibilities
Assess Allied Health Treatment Requests to support worker recovery in line with SIRA's Clinical Framework; Conduct file reviews and provide clinical opinions on treatment strategies; Liaise and negotiate with treating providers to facilitate treatment upgrades; Identify the need for and refer to external services like Independent Physiotherapy Consultants; Educate and train injured workers, employers, and operational team members on medical issues and best practices.
Seniority
Senior, hands-on IC