POSITION DESCRIPTION
POSITION TITLE
POSITION NUMBER
DIVISION
BRANCH
LOCATION
REPORTS TO
NUMBER OF DIRECT
REPORTS
FINANCIAL DELEGATION
JOB PURPOSE
Lump Sum Coordinator
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BAND / JOB GROUP
TAC JG 4
CLAIMS
The Claims division is centered on providing services to TAC clients and supporting them
to return to work, health and independence following a transport accident. The Claims
division plays a key role in ensuring the TAC scheme is viable for all Victorians well into
the future.
Resolution
Geelong
Team Manager- Lump Sum Compensation
NIL
NIL
The Lump Sum Coordinator is responsible for managing the client’s possible entitlement
to an Impairment benefit and/or Serious Injury Certificate in a timely and equitable
manner, in accordance with the Transport Accident Act 1986.
KEY ACCOUNTABILITIES
Claims Management
 Manage a portfolio of Impairment and/or Serious Injury claims to ensure that clients receive their correct
entitlement in an efficient and financially responsible manner whilst ensuring holistic claims management and
balance of client experience, client outcomes and scheme sustainability based on an assessment of risk,
particularly common law.
 Ensure that claims with common law potential are identified and appropriately managed and liability and
quantum is investigated and assessed in accordance with relevant legislation and case law.
 Manage the Impairment process to ensure a client’s claim for an impairment benefit is considered in an
efficient and financially responsible manner, negotiating the assessment and payment of benefits where
appropriate.
 Manage the serious injury process to ensure applications for serious injury are granted or denied in an efficient
and financially responsible manner.
 Support considered decision making by attending scar sights and other strategic reviews.
 At times, provide instructions to TAC legal area in impairment matters being disputed through No Fault Dispute
Resolution Protocols and VCAT.
 Take a holistic claims view by active participation in case reviews and targeting of specific claims to assist with
addressing a client’s vocational, rehabilitation and other needs by liaising with appropriate internal/external
stakeholders.
 Deliver high quality customer service, ensuring clear expectations are set and the client feels empowered and
informed throughout the process.
 Collaborate with client’s legal representatives and medical practitioners to promote satisfactory outcomes for
all parties.
 At all times, adopt approaches and techniques to resolve clients claims for impairment, common law and
disputes in the most expeditious and socially responsible manner having regard to a client’s individual
circumstances, relevant TAC, ALA and LIV Protocols, the principles of model litigant behaviour, TAC policies and
work practices.
Behaviour, Performance and Innovation
 Actively promote and observe TAC’s shared values, raising inappropriate behaviour in a prompt and respectful
manner.
 Actively participate in an agile workforce, demonstrating adaptability and openness to change.
 Participate in targeted reviews and respond appropriately.
 Actively engage in supporting and mentoring other team members to ensure transfer of knowledge across the
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business.
Identify future initiatives, risks or opportunities for continuous improvement at the team level and recommend
appropriate action.
Perform and deliver effective results on project work as directed.
Perform a key role in building internal relationships and improved claims management processes across all
Claims branches.
ORGANISATIONAL
RESPONSIBILITIES
As defined by the Occupational Health and Safety Act 2004 - Victoria employees of TAC
and WorkSafe Victoria are to take reasonable care to ensure their own safety, not place
others at risk by any act or omission, follow safe work procedures, report hazards and
injuries and cooperate with the employer to meet work health safety obligations.
Role model all TAC Leadership Model capabilities and behaviors; Adapt & Learn, Embrace
Accountability, Cultivate Partnerships, Empower Others, Exercise Judgment, Deliver
Outcomes, Shape Strategy & Direction and Lead Transformation.
Participate in identification and development of initiatives, risks, changes,
recommendations and implementation of appropriate work practices, policies and
guidelines to improve efficiency and/or effectiveness of work.
KEY SELECTION CRITERIA
RELEVANT WORK EXPERIENCE & SPECIALISED KNOWLEDGE
Essential
 Demonstrated experience in high volume processing of claims in an agile environment.
 Demonstrated ability to analyse, interpret and evaluate complex medical and factual information.
 Demonstrated ability in the consideration of risk and claim management in response to same.
 Demonstrated ability to communicate clearly (written and verbal) and set service expectations for client’s,
providers and stakeholders.
 Demonstrated ability to liaise and collaborate effectively with various stakeholders, including but not limited to
medical, paramedical and legal practitioners.
 Demonstrated ability in negotiating and influencing stakeholders to ensure fast resolution of issues.
 Demonstrated knowledge and ability to exercise sound judgement in the interpretation and application of
legislation, policies, work practices and legal precedents.
Desirable
 Knowledge of the relevant sections of the Transport Accident Act 1986, relevant jurisdictional legislation and
legal precedents, with regard to Common Law, Serious Injury and Impairment.
 Extensive knowledge of medical, paramedical terminology and procedures, including the forms of treatment
applicable to traumatic injury.
 Demonstrated knowledge and ability in the assessment of Serious Injury and Common Law damages.
 Demonstrated knowledge and ability in the application of the 4 th and 2nd AMA Guides to the Evaluation of
Permanent Impairment.
CAPABILITIES
Adapt and Learn: Shows openness to new ways of doing things
Cultivate Partnerships: Builds and maintains relationships with stakeholders internally and externally
Deliver Outcomes: Understands and delivers on individual performance outcomes, and strives to exceed goals despite
obstacles/ setbacks
Embrace Accountability: Steps up to meet a challenge
Empower Others: Applies appropriate principles, policies and procedures to make decisions within scope of role
Exercise Judgement: Thinks outside the square in creating effective client solutions
Lead Transformation: Has an awareness of one’s natural responses to changes and strives to remain flexible, positive
and responsive to changes
Shape Strategy and Direction: Demonstrates an understanding of the operational and strategic goals and how own work
contributes to these
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RELEVANT QUALIFICATIONS
A qualification in claims management, medical, business or other relevant field or equivalent relevant experience
VERSION
DATE
2.0
4/06/2015
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