Eligibility Officer

4 weeks ago


Adelaide, South Australia EML (Employers Mutual Limited) Full time

About the Role

We are seeking a highly skilled Eligibility Officer to join our team at EML. As an Eligibility Officer, you will be responsible for investigating, strategising, and determining complex claims. You will be the first point of contact for all claims coming into the business, and your decision-making skills will play a crucial role in ensuring that our workers and employers receive the support they need.

Key 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)
  • Avoidance of any conflict of interest
  • Liaise effectively with third party stakeholders, i.e. solicitors, IMEs and investigators
  • Identify, develop and implement effective strategies to support the achievement of key performance and remuneration measures

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

  • 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
  • Access LinkedIn Learning - 18,000 courses to advance your professional education
  • 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.



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