Claims 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

The purpose of this role is 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 full-time permanent position based in our 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
- You have a strong customer service focus
- You possess exceptional organisational and time management skills
- You maintain sound analytical and problem-solving skills
- Knowledge of medical terminology derived from work experience or studies is desirable
- Tertiary studies in Allied Health (Occupational Therapy, Physiotherapy, Rehabilitation, Nursing, Psychology, Rehabilitation Counselling or Exercise Science) is considered 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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