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Eligibility Officer

4 weeks ago

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

About the Role

We are seeking a highly skilled Eligibility Officer to join our team at EML. As an Eligibility Officer, you will be responsible for investigating, strategising, and determining complex claims. This is a full-time permanent position based in our Adelaide office, with flexibility to work from home.

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)
  • Adept 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