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Eligibility Officer

3 months ago


Adelaide, South Australia Arthur J. Gallagher & Co. Full time

Introduction Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing.

You'll be part of a resilient team that works together to redefine the boundaries of excellence.

At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference.

GUIDE.
GUARD.
GO BEYOND.

We believe that every candidate brings something special to the table, including you So, even if you feel that you're close but not an exact match, we encourage you to apply.

Overview Gallagher Bassett is Australia's largest Third Party Administrator (TPA).

Our focus is refreshingly simple:
we manage insurance claims on behalf of insurers, brokers, government bodies and self-insured corporations.

Drawing on our global network and extensive local resources, Gallagher Bassett provides customised claim and risk mitigation solutions that improve our clients' outcomes.

As pioneers in this fast growing sector, we continue to set the benchmark for quality, customer service and TPA systems across all insurance sectors.

Gallagher Bassett (GB) has six offices in Australia located in Northern Territory, Adelaide, Perth, Brisbane, Melbourne and Sydney, and employing over 1,600 staff.

How you'll make an impact We have a great opportunity for a Claims Specialist focusing on Eligibility to join our team in Adelaide.

In this role, you will be the first point of contact responsible for coordinating and obtaining information from key stakeholders to determine the acceptance or rejection of Worker's Compensation claims in line with legislation.

You'll also be responsible for conducting investigations as necessary to ensure every decision made for new claims are of the highest quality and consideration for our customers.

At GB, we drive and deliver career progression.
We offer dedicated learning and career pathways and provide ongoing training for a variety of roles.
We invest in our people through succession planning and have a number of mentoring and training programs available.

On a day to day basis you will:
Working as part of the Eligibility team to make sustainable, appropriate and quality initial liability determinations for your portfolio of newly lodged Work Cover claims
Driving an effective investigatory process in order to make quality initial liability decision
Communicating updates and outcomes relating to decisions to both injured workers and employers
Providing a quality customer service experience for our internal and external customers
Accurately calculating all pre-injury average weekly earnings for injured workers
Communicating the initial decision rational to the Dispute Resolution Team to support the conciliation process
Working together with your Team Manager, Case Managers, Technical Managers and Work Safe staff to determine liability and review of entitlement About you We're looking for
Claims management experience within the workers compensation or broader insurance industry or experience in reviewing, determining or lodging insurance (ideal, but not essential)
Exceptional time management and organisational skills and the ability to prioritise your tasks
Excellent communication and interpersonal skills, and a team-player attitude
An aptitude for working within a dynamic, fast paced and challenging environment

Working with us:


GB values its employees and offers a friendly, comfortable working environment that facilitates a Work and Life Balance GB recognises that our benefits program holds a different value or meaning to each employee.

At GB, there are a number of benefits available to our team to ensure we capture a wide range of products and services that we believe will positively impact our diverse workforce.


Just a few of our benefits include:
Discounted Insurance
Dress for your day
Novated Leasing
Flexible & hybrid working

To apply:
If this role sounds like your new career– we want to connect Click on Apply for this Job.
To be considered for this opportunity you must have right to live and work in Australia when applying.
Agency applicants will not be considered for this position.
Compensation and benefits We value inclusion and diversity

Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization.

For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities.
We see inclusion as a conscious commitment and diversity as a vital strength.
By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as "protected characteristics") by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination.

In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

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