Claims Determination Specialist
7 days ago
EML (Employers Mutual Limited) is a leading Workers Compensation and Personal Injury Claims Management business. Our goal is to provide ongoing support during the return-to-work journey of our clients.
We foster a learning culture that allows for continuous investment in our employees, ensuring a long-term career at EML. With over 3,900 dedicated employees, we are committed to maintaining a workplace where everyone feels valued.
Job DescriptionThe Eligibility Officer is responsible for investigating, strategising, managing, and following up information and evidence to support sound decision-making with respect to claim outcomes.
This role requires customer-focused individuals with excellent written communication skills and a curious mind who can analyse information and make sound decisions in line with the Return to Work Act 2014.
Your Responsibilities- Taking calls from the work queue and managing enquiries accordingly
- Requesting information required to assist in the liability assessment process
- Proactively managing claim determinations for complex claims, ensuring clear documentation of actions throughout the determination process
- Ensuring allocated work is actioned within appropriate timeframes
- Providing accurate and complete information that is consistent and easy to understand
- Adepting a service-orientated approach focused on the interests of workers and employers
- Liaising effectively with third-party stakeholders, i.e., solicitors, IMEs, and investigators
- 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 would also be beneficial
We stand together as equals. EML is an equal opportunity employer, committed to maintaining a workplace where everyone feels valued. We celebrate diversity and inclusion, and our employees benefit from:
- A vibrant, collaborative, and innovative team culture
- Flexibility with opportunities to work from home when fully trained in the 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
- Company-wide events to celebrate success
- Quarterly Reward and Recognition Awards
- Access to LinkedIn Learning – 18,000 courses to advance your professional education
- Up to 16 weeks paid parental leave, plus super
-
Claims Determination Specialist
1 week ago
Adelaide, South Australia EML (Employers Mutual Limited) Full timeJoin EML in Adelaide and Make a DifferenceWe are seeking an exceptional Claims Determination Specialist to join our team in Adelaide. As a key member of our claims team, you will play a critical role in making sound decisions that impact the lives of workers and employers.About the RoleThis is a full-time permanent position based in our Adelaide office, with...
-
Determination Specialist
5 days ago
Adelaide, South Australia EML (Employers Mutual Limited) Full timeClaims Determination SpecialistWe are seeking a skilled Claims Determination Specialist to join our team at EML, a leading Workers Compensation and Personal Injury Claims Management business. As a key member of our team, you will be responsible for investigating, strategizing, and determining complex claims in accordance with the Return to Work Act 2014.This...
-
Claims Determination Specialist
1 day ago
Adelaide, South Australia EML (Employers Mutual Limited) Full timeAbout UsEML (Employers Mutual Limited) is a leading Workers Compensation and Personal Injury Claims Management business. We pride ourselves on providing ongoing support to individuals throughout their return-to-work journey.We have experienced significant growth, with over 3,900 dedicated employees, and we continue to foster a learning culture that allows us...
-
Claims Determination Specialist
3 weeks ago
Adelaide, South Australia EML (Employers Mutual Limited) Full timeKey ResponsibilitiesAs an Eligibility Officer at EML, you will be responsible for investigating, strategising, managing, and following up on information and evidence to support sound decision-making regarding claim outcomes.Key RequirementsStrong customer service skillsExcellent oral and written communication skillsAttention to detail and organisational...
-
Property Damage Claims Specialist
1 day ago
Adelaide, South Australia Suncorp Group Full timeAbout the RoleWe are seeking a highly skilled Property Damage Claims Specialist to join our team at Suncorp Group.Job DescriptionThe successful candidate will be responsible for accurately assessing property damage via multiple assessing platforms, including desktop, virtual, and onsite assessments.They will determine claim quantum and scope under relevant...
-
Claims Officer
4 weeks ago
Adelaide, South Australia Gallagher Full timeJob SummaryAs a Claims Officer at Gallagher, you will play a vital role in delivering a high-quality, empathetic, and organised claims management service to our clients. Your primary responsibility will be to support the return to work process for individuals who have experienced a workplace injury.You will work closely with our Return to Work Specialist,...
-
Claims Service Specialist
3 weeks ago
Adelaide, South Australia Marsh Pty Ltd Full timeAbout the Role:We are seeking a Claims Service Specialist to join our team at Marsh Pty Ltd. As a Claims Service Specialist, you will be responsible for providing superior and professional claims service to Echelon Claim Services Customers and Stakeholders.Key Responsibilities:Manage and administer new claims, including liaising with Customers,...
-
Claims Specialist
3 weeks ago
Adelaide, South Australia EML (Employers Mutual Limited) Full timeThe OpportunityEML is seeking a skilled Technical Advisor to join our diverse team based in Adelaide. As a Technical Advisor, you will have the opportunity to make a positive impact on someone's life every day.You will feel great satisfaction knowing your talent and hard work has a purpose. This role is responsible for providing practical guidance to team...
-
Claims Officer
2 weeks ago
Adelaide, South Australia Gallagher Bassett Full timeAt Gallagher Bassett, we are seeking an exceptional Claims Officer to join our team of dedicated professionals who strive to deliver outstanding results for our clients.As a key member of our team, you will be responsible for providing a personalized and empathetic claims management service to the South Australian community. Your primary goal will be to...
-
Expert Claims Specialist
2 weeks ago
Adelaide, South Australia EML (Employers Mutual Limited) Full timeAbout EMLEML (Employers Mutual Limited) is a renowned workers compensation insurance provider dedicated to delivering exceptional service and support to its clients.We are currently seeking an Expert Claims Specialist to join our team in Adelaide, offering a unique opportunity to make a positive impact on the lives of injured workers.About the RoleThis is a...
-
Senior Claims Specialist
2 weeks ago
Adelaide, South Australia Employers Mutual Management Pty Ltd Full timeEmployers Mutual Management Pty Ltd 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 growth and have a team of dedicated employees. We foster a culture that allows us to continually invest in...
-
Claims Specialist
1 month ago
Adelaide, South Australia Suncorp Group Full timeExciting Opportunities for Claims SpecialistsWe are seeking vibrant and passionate individuals to join our team in Adelaide as Claims Specialists. As a key member of our team, you will be responsible for providing exceptional service to our customers by being the first point of contact for all inbound claim calls.Key Responsibilities:Adopt a customer-focused...
-
Claims Management Specialist
2 weeks ago
Adelaide, South Australia Marsh Pty Ltd Full timeJob SummaryWe are seeking an experienced Claims Consultant to join our team in Adelaide. As a Claims Consultant, you will be responsible for providing superior and professional claims service to Echelon Claim Services Customers and Stakeholders.About the RoleManage and administer new claims, including liaising with customers, repairers/suppliers, and other...
-
Claims Decision Specialist
2 weeks ago
Adelaide, South Australia EML (Employers Mutual Limited) Full timeAbout UsEML, a leading Workers Compensation and Personal Injury Claims Management business, offers an exciting opportunity for a motivated professional to join our team as an Eligibility Officer. With over 3,900 dedicated employees, we foster a learning culture that allows for continuous investment in our staff, ensuring a long-term career with us.Job...
-
Eligibility Officer
4 weeks ago
Adelaide, South Australia Gallagher Full timeJob Summary We are seeking an Eligibility Officer to coordinate and obtain information from key stakeholders to determine the acceptance or rejection of Worker's Compensation claims in line with legislation. This role involves conducting investigations as necessary to ensure every decision made for new claims is of the highest quality and consideration for...
-
Eligibility Officer
4 weeks ago
Adelaide, South Australia EML (Employers Mutual Limited) Full timeAbout the RoleThe Eligibility Officer is a critical position within our team at EML, where you will play a key role in determining the eligibility of claims. As a key point of contact for our workers and employers, you will be responsible for investigating, strategising, and managing complex claims to ensure sound decision-making.Key ResponsibilitiesTake...
-
Claims Assistant Manager
3 weeks ago
Adelaide, South Australia Avant mutua Full timeJob Title:Claims Assistant Manager - Civil Claims SpecialistAbout the Role:At Avant Mutual, we are seeking an experienced Claims Assistant Manager - Civil Claims Specialist to join our team in Adelaide. As a key member of our claims team, you will play a critical role in supporting our members through managing Civil and Professional Conduct claims.Key...
-
Adelaide, South Australia EML Australia Full timeEML Australia is a leading Workers Compensation and Personal Injury Claims Management business. Our goal is to help individuals regain their lives through ongoing support during their return-to-work journey.We continue to experience growth, with over 4,000 dedicated employees. We foster a learning culture that allows us to continually invest in our...
-
Claims Management Specialist
1 day ago
Adelaide, South Australia Avant mutua Full timeOpportunity for a Claims Management SpecialistWe are seeking a motivated and experienced Claims Management Specialist to join our Adelaide team in a permanent, part-time position (4 days per week). As a key member of our team, you will provide support and advice to our members through managing Civil and Professional Conduct claims.The ideal candidate will...
-
Eligibility Officer
2 weeks ago
Adelaide, South Australia Gallagher Full timeAbout the RoleWe are seeking an Eligibility Officer to join our team in the Noise Impacted Hearing Loss department at Gallagher. The successful candidate will be responsible for coordinating and obtaining information from key stakeholders to determine the acceptance or rejection of Worker's Compensation claims in line with legislation.Key...