Claims Specialist

4 days ago

Adelaide, South Australia EML Full time $60,000 - $100,000 per year

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 continue to experience ongoing growth and now have over 4,000 dedicated employees. We foster a learning culture that allows for us to continually invest in our employees ensuring a long-term career here at EML.

THE OPPORTUNITY

As part of our diverse team based in Adelaide, you will help make a positive impact on someone's life every day. You will feel great satisfaction knowing your talent and hard work has a purpose.

The purpose of this role is to review and consider treatment requests including surgery requests and making evidence based decisions whilst providing an empathetic customer experience through a deep technical specialisation in complex claims.

This will be a full time, permanent position based in the Adelaide office, with flexibility to work from home up to 2 days a week once fully trained.

YOUR RESPONSIBILITIES
 

  • Pro-actively proceed with appropriate case management to achieve the optimum recovery post-surgery 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.

  • Request and review medical information to ensure sound decision-making occurs around complex surgery requests

  • Communicate outcomes to internal and external stakeholders, ensuring the complex nature of decisions is understood by all.

ABOUT YOU
 

  • Strong customer service focus with a commitment to delivering exceptional client experiences

  • High organisation and time management skills with the ability to manage competing priorities effectively

  • Sound analytical and problem-solving capabilities with a focus on practical, outcome driven solutions

  • Knowledge of medical terminology gained through relevant work experience or formal studies within tertiary allied health fields

WHAT WE OFFER

We stand together as equals. EML is an equal opportunity employer so by coming to work for us, you will be part of a culture that celebrates diversity and inclusion. We are committed to maintaining a workplace where everyone feels valued and where we show respect, integrity and honesty.

EML provides career opportunities and great employee benefits, including:

  • 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

  • Up to 16 weeks paid parental leave, plus super

We value our people and are committed to supporting our employees by investing in their professional development and providing generous employee benefits. If this position is of interest to you, please apply now.
 

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