Claims Specialist at EML

Adelaide, South Australia, Australia -

Full Time

Start Date

Immediate

Expiry Date

16 Mar, 26

Salary

0.0

Posted On

16 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Case Management, Communication, Analytical Skills, Problem Solving, Medical Terminology, Time Management, Organizational Skills

Industry

Insurance

Description

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 purpose of this role is to review and consider treatment requests including surgery requests and making evidence based decisions whilst providing an empathetic customer experience through a deep technical specialisation in complex claims. This will be a full time, permanent position based in the Adelaide office, with flexibility to work from home up to 2 days a week once fully trained. YOUR RESPONSIBILITIES Pro-actively proceed with appropriate case management to achieve the optimum recovery post-surgery 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. Request and review medical information to ensure sound decision-making occurs around complex surgery requests Communicate outcomes to internal and external stakeholders, ensuring the complex nature of decisions is understood by all. ABOUT YOU Strong customer service focus with a commitment to delivering exceptional client experiences High organisation and time management skills with the ability to manage competing priorities effectively Sound analytical and problem-solving capabilities with a focus on practical, outcome driven solutions Knowledge of medical terminology gained through relevant work experience or formal studies within tertiary allied health fields WHAT 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 diverse and collaborative team culture like no other Flexibility to work from home to support work/life balance A corporate wellbeing program with discounted health insurance and gym membership Generous discounts from over 350 retailers through our RewardsHub program Comprehensive learning and development opportunities to help you reach your full potential Access to support and counselling services with work or personal matters, through our Employee Assistance Program Companywide events to stay connected and celebrate success Entitlement to annual company incentive scheme + salary reviews Up to 16 weeks paid parental leave, plus super We 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. About Us There’s huge satisfaction from knowing that your talent and hard work has a purpose. You will be making a difference that counts. Our people care about making a difference. We are looking for people who share our commitment to positive change. Once we have found you, we pull out all the stops to keep you. The focus and support we provide for career development are one of the reasons we have such a vibrant, engaged, and talented team. You will not be forgotten here. Your career at EML will be full of opportunities to gain new skills, work, grow and succeed with us.

Responsibilities

The Claims Specialist will review and consider treatment requests, including surgery requests, and make evidence-based decisions. They will also provide an empathetic customer experience while managing complex claims.