Eligibility Officer

4 days ago


Sydney, New South Wales, Australia Haylo People Full time
Eligibility Officer Role

Haylo People is seeking a skilled Eligibility Officer to join our team in the Personal Injury and General Insurance recruitment sector. As a key member of our team, you will be responsible for assessing claims, making decisions on acceptance or rejection, and transitioning claims to Case Managers.

Key Responsibilities:
  • Assess and evaluate claims to determine eligibility
  • Make informed decisions on claim acceptance or rejection
  • Transition claims to Case Managers for ongoing management
  • Utilize strong technical knowledge of relevant legislation, including Workplace Injury Rehabilitation & Compensation Act 2013 and associated Regulations
  • Identify barriers and make appropriate decisions to ensure fair and efficient claim processing
Requirements:
  • 2+ years of experience in initial claims assessment (Case Manager)
  • Strong working knowledge of ACCtion and Novus, or similar case management systems
  • Flexibility and ability to adapt to change
  • Intermediate to advanced knowledge of WorkCover schemes

We believe in creating an inclusive and diverse work environment where everyone can thrive. If you are a motivated and detail-oriented individual with a passion for claims assessment and decision-making, we encourage you to apply for this exciting opportunity.


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