Claims Treatment Specialist

3 weeks ago

Sydney, 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 Sydney or Newcastle, you’ll help make a positive impact on someone’s life every day. You’ll feel great satisfaction knowing your talent and hard work has a purpose.

In the Claims Treatment Specialist - Physiotherapist role, you'll utilise your clinical expertise to review the effectiveness of Worker’s physiotherapy treatment in line with SIRA's Clinical Framework of the Delivery of Health Services. You will support claims teams by ensuring the right questions are considered in the approval of Allied Health Treatment Requests (AHTRs). You will oversee physiotherapy treatment progress and provide guidance to build the capability of operational team members. This will help them better assess and manage physiotherapy treatment.

The role also entails communicating and negotiating with treating physiotherapists to address injury recovery and treatment plans, and educate them on completing AHTRs. This dynamic role requires someone who is adaptable and can identify opportunities for continuous improvement.

This will be a full-time, 18 month secondment/contract position based in the Sydney or Newcastle office, with flexibility to work from home up to 3 days per week.

YOUR RESPONSIBILITIES
- Develop and implement strategies to optimise treatment management processes and outcomes.
- Assess Allied Health Treatment Requests to support worker recovery in line with SIRA’s Clinical Framework.
- Conduct file reviews and provide clinical opinions on treatment strategies, reviewing medical records and other relevant information.
- Liaise and negotiate with treating providers, doctors, specialists, and allied health professionals to facilitate treatment upgrades and manage treatment modalities.
- Identify the need for and refer to external services like Independent Physiotherapy Consultants or Independent Medical Examinations.
- Educate and train injured workers, employers, and operational team members on medical issues, best practices, and negotiation techniques related to workers' compensation claims.

ABOUT YOU
- Bachelor’s degree in Physiotherapy
- Current registration in professional field
- Demonstrated experience in clinical practice
- Well established knowledge of disability and injury management best practice
- Comprehensive understanding and demonstrated experience working in the personal injury industry, ideally with experience with the workers compensation insurance and legislation.
- Excellent communication and interpersonal skills, with the ability to effectively engage and negotiate with stakeholders at all levels.
- Excellent proficiency in Microsoft office suite.

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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