Eligibility Claims Specialist

1 week ago

Adelaide, South Australia beBeeClaim Full time $60,000 - $95,000

We are seeking a dedicated and compassionate Eligibility Officer to join our team in Adelaide. This is an exciting opportunity for someone who is passionate about making a positive impact on people's lives.

In this role, you will play a key part in the initial stages of a claim lodgement, shaping the claims experience for both workers and employers as they determine whether to accept or reject a claim. Your main responsibilities will include investigating, strategizing, managing, and gathering information and evidence to support sound decision-making regarding the claim outcome.

This is a permanent, full-time position based in our Adelaide office, with flexibility to work from home once fully trained. As an Eligibility Officer, you will be responsible for:

  • Managing inbound and outbound calls and directing their queries accordingly while requesting information to assist in the liability assessment process
  • Proactively managing claim determinations for complex claims, ensuring that information is actioned accurately and consistently
  • Assisting the worker and employer with the claim process and providing support in the completion of relevant documents to ensure timely access to required services to support return to work and injury recovery
  • Developing and implementing effective strategies to support the achievement of key performance and remuneration measures

To be successful in this role, you will need to possess strong customer service focus, excellent written and verbal communication skills, and the ability to analyze information to make a decision in line with the Return to Work Act. You should also have high attention to detail and organizational skills, with the ability to problem-solve and make informed decisions.

A tertiary qualification in business, law, or allied health would be advantageous, but not mandatory. Previous experience in a similar role within workers' compensation or insurance, with previous experience within a legal environment, would also be advantageous but not mandatory.

We offer a vibrant, collaborative, and innovative team culture, flexibility to work from home when fully trained, a corporate wellbeing program, access to discounts at over 350 retailers, entitlement to an annual tenure and performance-based recognition reward, comprehensive learning and development support, company-wide events to celebrate success, quarterly Reward and Recognition Awards, and up to 16 weeks paid parental leave, plus super.

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