Claims Specialist

2 days ago

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

The Opportunity

We are seeking a skilled Claims Specialist to join our team in Adelaide. As a Claims Specialist, you will play a critical role in providing early, timely, and personal service to workers, employers, and stakeholders. You will be responsible for managing complex claims, providing empathetic customer experiences, and working collaboratively with internal and external stakeholders.

About You

  • You have a strong customer service focus and exceptional organisational and time management skills.
  • You possess sound analytical and problem-solving skills, with knowledge of medical terminology derived from work experience or studies.
  • Tertiary studies in Allied Health (Occupational Therapy, Physiotherapy, Rehabilitation, Nursing, Psychology, Rehabilitation Counselling, or Exercise Science) is considered advantageous.

Your Responsibilities

  • Pro-actively proceed with appropriate case management to achieve the optimum outcome of early sustainable return to work for workers with reasonable claim costs.
  • Liaise with all internal and external stakeholders regularly to progress strategies and actions.
  • Assess aspects of liability and recovery relevant to the legislation or policy, in accordance with EML procedures if required.
  • Undertake ongoing reviews in relation to entitlements, payments, and medical expenses.
  • Proactively manage rehabilitation providers and approval of rehabilitation plans/wellness plans in accordance with guidelines.
  • Conduct health promotion activities to enhance the injured worker's wellbeing and empower them to participate in their own treatment and recovery.
  • Ensure claims files are accurately and professionally updated on a regular basis.

About Us

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.

What We Offer

We stand together as equals. EML is an equal opportunity employer, committed to maintaining a workplace where everyone feels valued and respected. We offer a vibrant, collaborative, and innovative team culture, flexibility to work from home, and a corporate wellbeing program with discounted health insurance and gym membership.

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