Eligibility Officer

Description:

The Eligibility Officer will assess claims, make decisions to accept/reject claims, and transition claims to Case Managers. The role involves calculating PIAWE, advising Dispute Resolution Managers on decision rationale, and identifying claim recovery potential. Strong technical knowledge of relevant legislation, resilience to achieve business objectives, and analytical and communication capability are key to success in this role.

Office is based in Macquarie Park, 1 day in office for training and ad hoc requests. Free Parking on-site is provided.

The role

• Assess and make decisions on the acceptance or rejection of claims.
• Transition claims to Case Managers for ongoing management.
• Resilience and perseverance.
• Work management - attention to detail, organisational and planning skills.
• Utilize strong technical knowledge of relevant legislation.
• Identify barriers and make appropriate decisions.

About you

• 2 years or more experience in initial claims assessment (Case Manager)
• Strong working knowledge of Workplace Injury Rehabilitation & Compensation.
• Act 2013 and associated Regulations, and/or a Legal Qualification
• Flexibility and ability to adapt to change.
• Intermediate to advanced knowledge of ACCtion and Novus, or similar case.
• Familiarity with WorkCover schemes.