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Return to Work Claims Specialist

2 months ago


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

We are seeking a highly skilled and experienced Return to Work Claims Specialist to join our team at EML (Employers Mutual Limited). As a key member of our team, you will play a critical role in delivering high-quality injury management and return to work services to our clients.

Key Responsibilities
  • Deliver injury management, return to work, and claims management services that drive early and safe return to work for our clients.
  • Conduct thorough assessments of workers and employers to identify and proactively drive the resolution of biopsychosocial barriers with the treating team.
  • Educate and inform stakeholders on the return to work process, legislative requirements, premium impact, initial claims decisions, and promote the health benefits of safe work.
  • Coordinate and lead worksite meetings with workers and employers to facilitate effective communication and collaboration.
  • Provide on-the-spot advice, approval, and education to resolve or procure tailored services that resolve worksite barriers.
  • Proactively engage and partner with the treating team to drive the worker's capacity for work in line with the worker's progress, recovery timeframes, and suitable duties.
  • Deliver timely decisions and approvals that are within the legislative requirements and delegations, and proactively monitor and manage overall claims costs to ensure cost-effectiveness for the purpose of durability of the scheme.
Requirements
  • Registered with AHPRA as an Occupational Therapist, Physiotherapist, or Occupational Health Nurse, and ensuring this registration is maintained.
  • Prior experience within a clinical role or within an injury management field, educating workers and employers in the health benefits of safe work and activity.
  • Sound working knowledge and understanding of work injury insurance.
  • Excellent written and verbal communication skills.
  • Proven ability to build trust, engage, influence, and negotiate with a broad range of stakeholders.
  • Strong conflict resolution skills and ability to make decisions.
  • Demonstrated ability to adapt and contribute to an evolving program of work.
  • Proven ability to work autonomously and within a team environment.
  • Current driver's license.
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 value our people and are committed to supporting our employees by investing in their professional development and providing generous employee benefits. We stand together as equals, celebrating diversity and inclusion, and showing respect, integrity, and honesty in all our interactions.