Eligibility Officer
2 weeks ago
About the Role
The Eligibility Officer is a critical position within our team at EML, where you will play a key role in determining the eligibility of claims. As a key point of contact for our workers and employers, you will be responsible for investigating, strategising, and managing complex claims to ensure sound decision-making.
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)
- Avoid adopting a service-orientated approach that is focused on the interests of workers and employers
- Liaise effectively with third party stakeholders, i.e. solicitors, IMEs and investigators
- In conjunction with the Team Leader 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
What We Offer
- 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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