Claims Specialist - Return-to-Work & Support

eml; Adelaide; Hybrid; AUD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible hybrid work

Health insurance discounts

Employee Assistance Program

Salary reviews

Parental leave

Job summary

EML in Adelaide is seeking a Claims Officer to join our growing team. You will receive hands-on training in claims management, return-to-work schemes, and legislative requirements while supporting injured workers, employers and providers.

The role offers a permanent, full-time position with a hybrid work arrangement, allowing up to two days remote each week, and a clear path into advanced roles such as Eligibility Officer or Claims Specialist.

Qualifications

• Strong communication with medical professionals, stakeholders and customers.
• Ability to interpret and apply medical information from reports and notes to support decisions.
• Demonstrated customer focus with empathy and professionalism in sensitive situations.

Responsibilities

• Participate in a structured learning journey while contributing to a positive customer experience.
• Review medical and supporting documentation, including complex surgical requests, to make informed decisions in line with policy.
• Analyse treatment plans and identify gaps, requesting additional clinical information when required.
• Engage with workers, employers, and treatment providers to support injury recovery and return-to-work outcomes.
• Proactively identify and escalate emerging risks to management in a timely manner.

Skills

Communication skills

Empathy

Time management

Organisational skills

Tools

Salesforce

Microsoft Office

Job description

EML in Adelaide is seeking a Claims Officer to join our growing team. You will receive hands-on training in claims management, return-to-work schemes, and legislative requirements while supporting injured workers, employers and providers.

The role offers a permanent, full-time position with a hybrid work arrangement, allowing up to two days remote each week, and a clear path into advanced roles such as Eligibility Officer or Claims Specialist.