Claims Specialist

Description:

Overview: Provide early, timely and personal service to workers, employers, providers/stakeholders and family/support networks whilst providing an empathetic customer experience through a deep technical specialisation in complex claims.

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 2,900 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.

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 provide early, timely and personal service to workers, employers, providers/stakeholders and family/support networks whilst providing an empathetic customer experience through a deep technical specialisation in complex claims. This position works in an environment where people are passionate about helping others, with a focus on customer service and support to all stakeholders to provide pro-active, tailored, timely and effective management of specialised claims.

This will be a permanent position commencing immediately based in the Adelaide office, with flexibility to work from home.

Pro-actively proceed with appropriate case management to achieve the optimum outcome of early sustainable return to work 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.
• Undertake ongoing reviews in relation to entitlements, payments and medical expenses.
• Proactively manage rehabilitation providers and approval of rehabilitation plans/wellness plans in accordance with guidelines.
• Conduct health promotion activities to enhance the injured worker’s wellbeing and empower them to participate in their own treatment and recovery.
• Ensure claims files are accurately and professionally updated on a regular basis.

ABOUT YOU

• Strong customer service focus
• Experience completing administration tasks within a fast-paced environment
• Excellent organisational and time management skills
• Sound analytical and problem-solving skills
• Tertiary studies in Allied Health (Occupational Therapy, Physiotherapy, Rehabilitation, Nursing, Psychology, Rehabilitation Counselling or Exercise Science) is advantageous