Victorian Managed Insurance Authority (VMIA)
- Job Title – Claims Specialist – Medical Indemnity
- Work Type – Full Time, Ongoing
Join VMIA as a Claims Specialist – Medical Indemnity and manage complex claims from assessment through to resolution. Use your expertise, sound judgment and client-focused approach to deliver fair, defensible outcomes for Victoria’s public health sector.
Key highlights
- Salary Range - $145,000 - $155,000 (total remuneration package inclusive of super).
- Hybrid work environment – Enjoy a mix of office and flexible work arrangements,with at least 3 days working from out CBD office.
About the role
As a Claims Specialist – Medical Indemnity, you will manage a portfolio of claims from initial assessment through to resolution, delivering timely, defensible and client-centred outcomes.
You will apply your knowledge of medical negligence, personal injury law and policy coverage to assess liability, establish reserves, negotiate settlements and identify recovery opportunities.
Reporting to the Portfolio Manager – Medical Indemnity, you will join VMIA’s Risk, Insurance and Claims Solutions division and help deliver best-practice claims management for clients across the Victorian public sector.
Key responsibilities
- Manage medical indemnity claims end to end, including policy interpretation, indemnity and liability assessment, reserving, negotiation, settlement and recovery.
- Build trusted client relationships and provide clear, compassionate guidance throughout complex and sensitive claims.
- Develop evidence-based claim strategies and recommendations, escalating matters to senior colleagues, legal partners or portfolio manager when required.
- Engage and oversee legal providers, expert advisers, advocacy organisations and other service partners to achieve high-quality, cost-effective outcomes.
- Exercise delegated authority to establish reserves and settle claims in line with VMIA’s Claims Management Manual and governance requirements.
- Maintain accurate records and documentation that meet regulatory, financial, audit and reporting standards.
- Identify emerging risks and portfolio trends that can inform insurance products, coverage design and claims practices.
- Contribute to process improvements, knowledge sharing and cross-functional initiatives across VMIA.
- Participate in supervision, debriefing and wellbeing initiatives that support a resilient, trauma-informed workplace.
What we are looking for
- At least three years’ experience in end-to-end claims management or a related field within a structured, client-focused environment.
- Experience managing medical indemnity, medical negligence, complex personal injury or healthcare-related claims.
- Sound knowledge of duty-of-care assessments, regulatory requirements and relevant or emerging legal precedents.
- Strong analytical, negotiation and decision-making skills, with the ability to assess complex legal, financial and operational issues.
- A client-centred approach and the confidence to manage sensitive stakeholder relationships in high-pressure situations.
- Sound judgment, discretion and empathy when working with traumatic, emotionally charged or reputationally sensitive matters.
- The resilience and adaptability to manage competing priorities and conflict while maintaining clear professional boundaries.
- Strong planning and organisational skills, with accountability for delivering work to agreed quality standards and timeframes.
- Confidence using claims management systems and operating within established governance frameworks.
- An understanding of public sector expectations and the ability to balance service delivery, accountability and risk.
- A collaborative mindset and commitment to continuous learning, improvement and VMIA’s values.
- Associate or Fellow membership of the Australian and New Zealand Institute of Insurance and Finance is desirable.
- Qualifications in law, business, human services, social work or a related discipline are advantageous but not essential. Relevant industry experience and personal suitability for medical indemnity claims work will be highly regarded.
- You must satisfy the requirements of a fit and proper person under APRA guidelines.
Why join VMIA?
At VMIA, we believe diversity drives innovation. We are committed to creating an inclusive environment where everyone feels valued and empowered to contribute their unique perspectives.
We offer:
- Flex work: Hybrid working to support your best performance.
- Parenting support: Generous parental leave (16 weeks paid parental leave after six months of service for primary carers and 4 weeks for secondary carers).
- Learning & Development: Annual investment ($2,500) in your growth, with in-house training, and LinkedIn Learning access in addition.
- Wellbeing: Wellness sessions, Employee Assistance Program (EAP), and ergonomic support.
- Culture & Lifestyle: Iconic office location, volunteer leave and life-stage support.
VMIA encourages applications from candidates of all backgrounds, including Aboriginal and Torres Strait Islander peoples, individuals with disabilities, culturally diverse communities, and members of the LGBTQIA+ community.
We warmly welcome applications from people of all gender identities, Aboriginal and Torres Strait Islander peoples, individuals with disabilities, and those from culturally diverse backgrounds.
Other relevant information
- Working Eligibility: Verification of your right to work in Australia.
- Employment History: Confirmation of your past employment details including employment dates and compensation.
- Academic Credentials: Verification of your educational qualifications to ensure they are accurate and legitimate.
- National Criminal History Check: A check for any criminal record, which may involve manual vetting by ACIC, potentially causing delays.
- Pre-employment Misconduct Check: Used to verify the identity, integrity, and credentials of potential employees and verifies no past misconduct.
- Financial Background Checks: Applicable for certain roles, such as Heads of Departments and Finance team members.
We value a collaborative work environment, so employees are expected to spend the majority of your working week in the office. Candidates from interstate must be willing to relocate to Victoria.
#J-18808-Ljbffr
Claims Specialist - Medical Indemnity in Melbourne employer: Solve by Talent
At VMIA, we pride ourselves on being an exceptional employer that champions diversity and innovation within a supportive and inclusive work culture. Our hybrid work environment allows for flexibility while fostering collaboration in our iconic office location, and we invest significantly in employee growth through generous learning and development opportunities. With comprehensive benefits including parental leave, wellness programs, and a commitment to community engagement, VMIA is dedicated to empowering our employees to thrive both personally and professionally.
