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Eligibility Officer

Eligibility Officer
Company:

Efinancialcareers Ltd.


Details of the offer

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 Eligibility Officer is one of the first points of contact for all claims coming into the business so is at the frontline of the claims experience for our workers and employers. As claims come into our business we need to make a decision on whether to accept or reject the claim. This role encompasses the investigating, strategising, managing and following up information and evidence to support sound decision making with the respect to the claim outcome.
This is where you come in. To make this happen we're seeking customer-focussed individuals with excellent written communication skills and a curious mind who have the ability to analyse information and ultimately make a sound decision in line with the Return to Work Act 2014.
This will be a permanent, full time position based in our Adelaide office, with flexibility to work from home.
YOUR RESPONSIBILITIES Take calls from the work queue and manage enquiries accordinglyRequest information required to assist in the liability assessment processProactively manage claim determinations for complex claims, ensuring clear documentation of actions throughout the determination processEnsure that allocated work is actioned within appropriate timeframesProvide accurate and complete information that is consistent and easy to understand (including options about any claim, entitlements, obligations & responsibilities)Adopt a service-orientated approach that is focused on the interests of workers and employersLiaise effectively with third party stakeholders, i.e. solicitors, IMEs and investigatorsIn conjunction with the Team Leader identify, develop and implement effective strategies to support the achievement of key performance and remuneration measuresABOUT YOU Strong customer service skillsExcellent oral and written communication skillsAttention to detail and organisational skillsHigh level problem solving and sound decision makingThe ability to effectively negotiate and influenceTertiary studies in business, law or allied health is advantageousPrevious 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 advantageousWHAT 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 cultureFlexibility with opportunity to WFH when you are fully trained in your role.A corporate wellbeing program with discounted health insurance and gym membershipAccess to discounts at over 350 retailers through our Rewards Hub programEntitlement to an annual tenure and performance-based recognition rewardComprehensive learning and development supportCompanywide events to celebrate success.Quarterly Reward and Recognition AwardsUp to 16 weeks paid parental leave, plus superWe 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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Job Function:

Requirements

Eligibility Officer
Company:

Efinancialcareers Ltd.


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