Eligibility Case Officer

3 weeks ago


Adelaide, South Australia EML (Employers Mutual Limited) Full time
About the Job

We are seeking a highly motivated and skilled Eligibility Officer to join our team at EML. As an Eligibility Officer, you will play a critical role in the claims process, working closely with our clients and stakeholders to ensure that claims are handled efficiently and effectively.

Key Responsibilities
  • Take calls from the work queue and manage enquiries accordingly
  • Request information required to assist in the liability assessment process
  • Proactively manage claim determinations for complex claims, ensuring clear documentation of actions throughout the determination process
  • Ensure that allocated work is actioned within appropriate timeframes
  • Provide accurate and complete information that is consistent and easy to understand (including options about any claim, entitlements, obligations & responsibilities)
  • Avoidance of speaking in jargon or acronyms that would cause confusion
  • Liaise effectively with third party stakeholders, i.e. solicitors, IMEs and investigators
  • Work collaboratively with the Team Leader to identify, develop and implement effective strategies to support the achievement of key performance and remuneration measures
About You
  • 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 or previous experience within a legal environment would also be advantageous
About EML

EML 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 foster a learning culture that allows for us to continually invest in our employees ensuring a long-term career here at EML.

We stand together as equals. EML is an equal opportunity employer so by coming to work for us, you will be part of a culture that celebrates diversity and inclusion. We are committed to maintaining a workplace where everyone feels valued and where we show respect, integrity and honesty.

EML provides career opportunities and great employee benefits, including:

  • A vibrant, collaborative innovative team culture
  • Flexibility with opportunity to WFH when you are fully trained in your 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
  • Companywide events to celebrate success.
  • Quarterly Reward and Recognition Awards
  • Access LinkedIn Learning - 18,000 courses to advance your professional education
  • Up to 16 weeks paid parental leave, plus super


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