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Eligibility Officer

extra holidays - extra parental leave - fully flexible
Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Strong customer service focus, Tertiary studies in business, law, or health, Experience in worker's compensation is advantageous, Excellent written and verbal communication skills.

Key responsabilities:

  • Manage calls while assisting liability assessments
  • Proactively manage complex claim determinations
  • Assist workers and employers with claims process
  • Develop strategies to meet performance measures
EML Group logo
EML Group Insurance Large https://www.eml.com.au/
1001 - 5000 Employees
See more EML Group offers

Job description

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.

An Eligibility Officer plays a key role in the initial stages of a claim lodgement, shaping the claims experience for both workers and employers as they determine whether to accept or reject a claim. This role involves investigating, strategising, managing and gathering information and evidence to support sound decision making with the respect to the claim outcome.

This will be a permanent, full-time position based in our Adelaide office, with flexibility to work from home once fully trained.

YOUR RESPONSIBILITIES

  • Manage inbound and outbound calls and directing their queries accordingly while requesting information to assist in the liability assessment process
  • Proactively manage claim determinations for complex claims, ensuring that information is actioned accurately and consistently
  • Assist the worker and employer with the claim process and providing support in the completion of relevant documents to ensure timely access to required services to support return to work and injury recovery
  • Develop and implement effective strategies to support the achievement of key performance and remuneration measures
     

ABOUT YOU

  • Strong customer service focus with excellent written and verbal communication skills and the ability to analyse information to make a decision in line with the Return to Work Act
  • High attention to detail and organisational skills with the ability to problem solve and make informed decisions
  • Tertiary studies in business, law or allied health is advantageous
  • Previous experience in a similar role within worker’s compensation or insurance with previous experience within a legal environment would also be advantageous but not mandatory

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.
 

Required profile

Experience

Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Customer Service
  • Information Processing
  • Decision Making
  • Problem Solving
  • Communication
  • Organizational Skills
  • Detail Oriented
  • Teamwork
  • Physical Flexibility

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