Case Manager - Medical

Description

Who we are

MDA National is a not-for-profit doctor’s mutual, also known as an MDO (Medical Defence Organisation). We exist solely to protect our members at every stage of their career and promote good medical practice throughout Australia. We have been supporting medical practitioners to keep on practising with confidence since 1925. Remaining true to our ‘doctors for doctors’ ethos, we are owned and governed by doctors, caring for the wellbeing and interests of doctors.  

We take great pride in a workplace culture focused on people, collaborative relationships, and continuous improvement. With our commitment to personal growth and development, great leaders, and passion for excellent member service, we provide an environment which encourages you to be the best version of yourself.  

The Role

Reporting to the Senior Manager, Medical Claims & Investigations in Perth, this is an exciting opportunity to play a key role in supporting MDA National’s Members, supporting insured doctors through complex and high-stress events, ensuring they are appropriately guided and supported while effective legal and claims strategies are put in place to achieve fair and timely outcomes.  

You will be responsible for the management of Medical Claims and Investigations, ensuring claims are handled fairly, transparently, and efficiently to achieve appropriate outcomes for insured doctors and MDA National. The role is accountable for the end-to-end technical management of the claims lifecycle, from notification through to resolution, including governance of decision-making, cost management, and legal strategy.

This is an exciting opportunity to make a meaningful difference for doctors when they need support most, working with experienced professionals across claims, legal, clinical and advisory disciplines.  

Role Responsibilities

• Manage a portfolio of medical claims and investigations from notification to resolution.
• Keep insured doctors informed, supported and appropriately guided throughout the claims process.
• Develop case strategies and coordinate legal and expert support to progress matters effectively.
• Select and oversee external legal and expert providers, maintaining quality and controlling costs.
• Contribute to governance and review processes that support fair, consistent and defensible decisions.
• Maintain accurate files, documentation and reporting for compliance, audit, reinsurance and oversight requirements.
• Collaborate across Claims, Advisory and Education services to support medico-legal risk reduction.
• Provide after-hours emergency support for urgent medical legal matters when required.

What we’re looking for

• A bachelor’s degree in law.
• At least five years’ professional experience in claims management or a medico-legal role.
• Strong knowledge of financial services and insurance; medical indemnity experience is highly regarded.
• Sound knowledge of insurance law and regulation, including APRA and ASIC requirements.
• Strong claims assessment, cause analysis and case management capability.
• The ability to explain complex issues and data clearly to stakeholders at all levels.
• Excellent organisation, prioritisation and time management skills.
• A collaborative, accountable and adaptable approach, with the judgement and resilience to manage sensitive and complex matters.

 Why join us at MDA?

• Attractive remuneration and income protection insurance.
• Join a well-established organisation with an outstanding team culture.
• Access contemporary learning and development opportunities.
• Enjoy flexible working arrangements, including a hybrid working environment.
• Access to a confidential Employee Assistance Program (EAP), available 24/7.
• Discounts on HBF health insurance.
• A generous health and well-being allowance in addition to your salary package.
• One week of additional leave per annum.
• Up to 10 weeks of paid parental leave.
• Option to purchase up to two additional weeks of leave per year.

How to Apply 

Please click the ‘Apply’ button and upload a copy of your CV.  

Please also endeavor to include a cover letter as we are interested in getting to know as much about you as we can via your application! For further information on MDA National’s work, culture and values, please visit: 

Our website: *************************************************** social media: *************************************************** obtain a copy of the position description or learn more about this role, please contact Nick Prest via email at *********************************. 

Company Overview

MDA National is a not-for-profit doctor’s mutual, also known as a Medical Defence Organisation or MDO. With more than 52,000 Members and insureds across Australia, we have been supporting medical practitioners to keep on practising with confidence since 1925. Remaining true to our ‘doctors for doctors’ ethos, we are owned and governed by doctors, caring for the wellbeing and interests of doctors. We provide the highest quality medical defence advice and support to enable our Members to keep on being the best doctors they can be. With MDA National, our Members are just a click or call away from the industry’s leading medical defence experts. We are the on-call advice and support for any concern, big or small. We take pride in a workplace culture focused on people, collaborative relationships, and continuous improvement. With our commitment to personal growth and development, great leaders, and passion for excellent member service, we provide an environment which encourages you to be the best version of yourself.