Claims Assessment Specialist

4 weeks ago

Greater Adelaide SA, Australia EML Full time

EML is a leading Workers Compensation and Personal Injury Claims Management business. Our goal is to help people get their lives back through ongoing support during their return-to-work journey. We continue to experience ongoing growth and now have over 4,000 dedicated employees. We foster a learning culture that allows for us to continually invest in our employees ensuring a long-term career here at EML.

THE OPPORTUNITY

As part of our diverse team based in Adelaide, you will help make a positive impact on someone’s life every day. You will feel great satisfaction knowing your talent and hard work has a purpose.

The Eligibility Officer is one of the first points of contact for all claims coming into the business so is at the frontline of the claims experience for our workers and employers. As claims come into our business we need to make a decision on whether to accept or reject the claim. This role encompasses the investigating, strategising, managing and following up information and evidence to support sound decision making with the respect to the claim outcome.

This is where you come in. To make this happen we’re seeking customer-focussed individuals with excellent written communication skills and a curious mind who have the ability to analyse information and ultimately make a sound decision in line with the Return to Work Act 2014.

This will be a full-time permanent position based in our Adelaide office, with flexibility to work from home.

YOUR RESPONSIBILITIES
- Take calls from the work queue and manage enquiries accordingly
- Request information required to assist in the liability assessment process
- Proactively manage claim determinations for complex claims, ensuring clear documentation of actions throughout the determination process
- Ensure that allocated work is actioned within appropriate timeframes
- Provide accurate and complete information that is consistent and easy to understand (including options about any claim, entitlements, obligations & responsibilities)
- Adopt a service-orientated approach that is focused on the interests of workers and employers
- Liaise effectively with third party stakeholders, i.e. solicitors, IMEs and investigators
- In conjunction with the Team Leader identify, develop and implement effective strategies to support the achievement of key performance and remuneration measure

ABOUT YOU
- Strong customer service skills
- Excellent oral and written communication skills
- Attention to detail and organisational skills
- High level problem solving and sound decision making
- The ability to effectively negotiate and influence
- Tertiary studies in business, law or allied health is advantageous
- Previous experience in a similar role within worker’s compensation or insurance and/or professional services or previous experience within a legal environment would also be advantageous

WHAT WE OFFER

We stand together as equals. EML is an equal opportunity employer so by coming to work for us, you will be part of a culture that celebrates diversity and inclusion. We are committed to maintaining a workplace where everyone feels valued and where we show respect, integrity and honesty.

EML provides career opportunities and great employee benefits, including:

- A vibrant, collaborative innovative team culture
- Flexibility with opportunity to WFH when you are fully trained in your role.
- A corporate wellbeing program with discounted health insurance and gym membership
- Access to discounts at over 350 retailers through our Rewards Hub program
- Entitlement to an annual tenure and performance-based recognition reward
- Comprehensive learning and development support
- Companywide events to celebrate success.
- Quarterly Reward and Recognition Awards
- Up to 16 weeks paid parental leave, plus super

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