Eligibility Officer

1 week ago

Adelaide city centre, South Australia Gallagher Full time

About Us:
Gallagher Bassett is the world's premier provider of risk and claims management services. We believe that - with proper management - a world of risk becomes a world of possibilities. It becomes a world where businesses and organizations are freed to do what they do best. To build. To serve. To move forward. Knowing the responsibilities of today and their people are being cared for.

So wherever opportunity and need come next in this world, Gallagher Bassett is there. More than 5,000 of the most dedicated professionals backed by the industry's most powerful technology.

Each with a single and powerful purpose:
To GUIDE those suffering a loss to the best outcomes for their health and financial wellbeing. To GUARD our clients' assets as the trusted stewards of their risk and claims management programs. To GO BEYOND expectations in the continuous pursuit of a better way.

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 1400 staff.


Responsibilities:

We have a great opportunity for an Eligibility Officer 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 preinjury 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 WorkSafe staff to determine liability and review of entitlement

Qualifications:

  • Claims management experience within the workers compensation or broader insurance industry or experience in reviewing, determining or lodging insurance (ideal, but not essential)
  • Legal experience or qualifications, preferably in personal injury and/or workers' compensation
  • Exceptional time management and organisational skills and the ability to prioritise your tasks
  • Excellent communication and interpersonal skills, and a teamplayer 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:

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