Eligibility Officer
1 week ago
About the Role
As an Eligibility Officer at Gallagher Bassett, you will be the first point of contact for newly received Workers Compensation claims. Your primary responsibility will be to coordinate and obtain information from key stakeholders to determine the acceptance or rejection of claims, and communicate decisions and updates with Injured Workers and Employers.
The Eligibility process focuses on determining whether claims are compensable within Workers Compensation frameworks and investigating the cause of injuries sustained at work. In this fast-paced role, you will utilize your analytical skills and technical knowledge to make fair and accurate decisions on claims within 28 days.
Key Responsibilities
- Making sustainable, appropriate, and quality initial liability determinations for your portfolio of Work Cover claims within 28 days
- Communicating claims updates and outcomes to injured workers and employers relating to the Eligibility process
- Driving an effective investigatory process to make quality decisions when determining initial liability for claims
- Providing a quality customer service experience for internal and external customers
- Accurately calculating all pre-injury average weekly earnings for injured workers
- Communicating the initial decision rationale to the Dispute Resolution Team to support the conciliation process
- Collaborating with Team Managers, Case Managers, Technical Managers, and WorkSafe staff to determine liability and review entitlement
Requirements
To succeed in this role, you will need:
- Experience in a Worker's Compensation Eligibility role, Case Management role, general insurance, or a similar position from a different industry
- Exceptional time management and organizational skills, with the ability to prioritize tasks
- Receptivity to continued learning and training
- Investigative and evidence-based decision-making skills
- Strong verbal and written communication skills
What We Offer
Gallagher Bassett offers a range of benefits, including:
- Attractive remuneration packaging and flexible work arrangements
- Paid parental leave
- Excellent working environment with a dedicated and approachable team
- Exciting career opportunities for growth and development
- Opportunities for ongoing education and development through external and internal programs
- Service recognition awards and employee assistance programs
- A dedication to your wellbeing through peer support programs, corporate health insurance discounts, and wellness programs
About Us
Gallagher Bassett is a leading provider of workers compensation claims management services. We are committed to delivering exceptional customer service and making a positive impact in the lives of our clients and claimants. Our team is passionate about making a difference and is dedicated to providing a supportive and inclusive work environment.
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