Clinical Advisor

2 weeks ago

Melbourne, Victoria, Australia EML (Employers Mutual Limited) Full time
About the Role

We are seeking a highly skilled Clinical Advisor to join our team at EML (Employers Mutual Limited). As a Clinical Advisor, you will play a critical role in providing strategic support and guidance to our claims team, helping to ensure that our customers receive the best possible outcomes.

Key Responsibilities
  • Assess surgery and treatment requests in a timely manner, ensuring that they align with our quality decision-making standards.
  • Support the efficient and effective gathering of information to assist our claims operations team members in accepting reasonable and necessary treatment, in line with clinical frameworks and addressing barriers to enable early return to work and recovery outcomes.
  • Work closely with case managers to assess and influence areas of improvement regarding treatment management.
  • Assist with the implementation of injury management, rehabilitation, and vocational rehabilitation initiatives.
  • Identify and assist claims operations team members to address barriers to enable early return to work and recovery outcomes, and review treatment strategies on long-term claims.
  • Develop and maintain a strong working partnership with the regulator.
About You
  • WorkSafe agent experience is preferred but not essential.
  • Allied Health qualification and experience are required.
  • Excellent understanding of the Victorian work cover legislation and associated regulations.
  • Experience in injury management and strategic claims management within a claims agent or insurance company setting.
  • Experience in collaborative peer-to-peer communications with treatment providers.
  • Highly developed stakeholder management and negotiation skills.
  • Excellent oral and written communication skills.
  • Proven track record in achieving business objectives.
  • Excellent organizational ability.
About EML

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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