Claims Specialist

3 days ago

Adelaide Region SA, Australia EML Full time

**Claims Specialist (Medical Services)**:
SA - Adelaide Workers Compensation Full Time
- **Bring your high attention to detail and excellent customer service skills**:

- **Complete an array of different administration tasks within a fast-paced environment**:

- **Ongoing support and career development opportunities**

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 purpose of this role is to investigate medical costs associated with workers compensation claims and determine eligibility. Furthermore, it is important to provide early, timely and personal service to workers, employers, providers/stakeholders and family/support networks whilst providing an empathetic customer experience through a deep technical specialisation in complex claims. This position works in an environment where people are passionate about helping others, with a focus on customer service and support to all stakeholders to provide pro-active, tailored, timely and effective management of specialised claims.

This will be a permanent position commencing **immediately **based in the **Adelaide **office, with flexibility to work from home.

**YOUR RESPONSIBILITIES**
- Pro-actively proceed with appropriate case management to achieve the optimum outcome of early sustainable return to work for workers with reasonable claim costs
- Liaise with all internal and external stakeholders regularly to progress strategies and actions.
- Assess aspects of liability and recovery relevant to the legislation or policy, in accordance with EML procedures if required.
- Undertake ongoing reviews in relation to entitlements, payments and medical expenses.
- Proactively manage rehabilitation providers and approval of rehabilitation plans/wellness plans in accordance with guidelines.
- Conduct health promotion activities to enhance the injured worker’s wellbeing and empower them to participate in their own treatment and recovery.
- Ensure claims files are accurately and professionally updated on a regular basis.

**ABOUT YOU**
- Strong customer service focus
- Experience completing administration tasks within a fast-paced environment
- Excellent organisational and time management skills
- Sound analytical and problem-solving skills
- Tertiary studies in Allied Health (Occupational Therapy, Physiotherapy, Rehabilitation, Nursing, Psychology, Rehabilitation Counselling or Exercise Science) is 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

We value our people and are committed to supporting our employees by investing in their professional development and providing generous employee benefits. If this position is of interest to you, please.

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