Impactful Claims Eligibility Specialist (Hybrid)

Employees Mutuals Limited; Adelaide; Hybrid; AUD 70,000 - 90,000; Full time

Benefits offered by this job

Flexible work from home

Health insurance discounts

Wellbeing program

RewardsHub discounts

Career development

Employee assistance

Company events

Annual incentive & salary reviews

Parental leave

Job summary

EML is seeking an Eligibility Officer in Adelaide to play a pivotal role at the start of a worker's compensation claim journey. You will gather information from workers, employers, medical professionals and others to assess evidence and make fair decisions on claims.

The role is full-time with the flexibility to work from home up to 2 days a week after training, helping to support recovery and a successful return-to-work outcome.

Responsibilities

• Manage inbound and outbound calls and direct customer queries while requesting information to assist in liability assessment.
• Assess and determine workplace injury claims of varying complexity, ensuring decisions are accurate, consistent and compliant with policy and legislation.
• Assist workers and employers to navigate the claims process with education and guidance to support safe recovery and timely return to work.
• Develop and implement strategies to support achievement of key performance and remuneration measures.

Job description

EML is seeking an Eligibility Officer in Adelaide to play a pivotal role at the start of a worker's compensation claim journey. You will gather information from workers, employers, medical professionals and others to assess evidence and make fair decisions on claims.

The role is full-time with the flexibility to work from home up to 2 days a week after training, helping to support recovery and a successful return-to-work outcome.