Claim Assessment Specialist

2 days ago

Melbourne, Victoria, Australia beBeeEligibility Full time $60,000 - $90,000
Eligibility Decision Specialist

About the Role:

You'll be a key figure in guiding individuals through the claims process, utilizing your analytical skills and technical knowledge to make informed decisions.

Our organization values collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference.

Key Responsibilities:

  • Coordinating and obtaining information from key stakeholders to determine the acceptance or rejection of claims in line with legislation.
  • Making sustainable, appropriate, and quality initial liability determinations for your portfolio of Work Cover claims within 28 days.
  • Communicating claims updates and outcomes to injured workers and employers relating to the Eligibility process.
  • Driving an effective investigatory process to ensure every decision made for new claims is of the highest quality and consideration for our customers.
  • Providing a quality customer service experience for our internal and external customers.
  • Accurately calculating all pre-injury average weekly earnings for injured workers.
  • Communicating the initial decision rationale to the Dispute Resolution Team to support the conciliation process.
  • Collaborating with your Team Manager, Case Managers, Technical Managers, and WorkSafe staff to determine liability and review entitlement.

Required Skills and Qualifications:

  • Experience in a Worker's Compensation Eligibility role, Case Management role, general insurance, or a similar position from a different industry (prior eligibility experience is not essential).
  • Exceptional time management and organizational skills, and the ability to prioritize tasks.
  • Receptivity to continued learning and training.
  • Investigative and evidence-based decision-making skills.
  • Strong verbal and written communication.

Benefits:

This is an exciting opportunity to work in a dynamic environment where your skills and dedication can truly make a difference. Our organization offers a supportive and collaborative culture that fosters professional growth and development.

What We Offer:

A competitive salary package, opportunities for career advancement, and a comprehensive training program designed to enhance your skills and expertise.

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