Claims Treatment Specialist (Physiotherapy) at EML

Sydney, New South Wales, Australia -

Full Time

Start Date

Immediate

Expiry Date

01 Jun, 26

Salary

0.0

Posted On

03 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Expertise, Physiotherapy Treatment Review, SIRA Clinical Framework, Allied Health Treatment Requests Assessment, Treatment Progress Oversight, Team Capability Building, Communication, Negotiation, Continuous Improvement, Strategy Development, File Reviews, Clinical Opinions, Medical Records Review, Stakeholder Engagement, Training, Microsoft Office Suite Proficiency

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 Sydney or Newcastle, you'll help make a positive impact on someone's life every day. You'll feel great satisfaction knowing your talent and hard work has a purpose. In the Claims Treatment Specialist - Physiotherapist role, you'll utilise your clinical expertise to review the effectiveness of Worker's physiotherapy treatment in line with SIRA's Clinical Framework of the Delivery of Health Services. You will support claims teams by ensuring the right questions are considered in the approval of Allied Health Treatment Requests (AHTRs). You will oversee physiotherapy treatment progress and provide guidance to build the capability of operational team members. This will help them better assess and manage physiotherapy treatment. The role also entails communicating and negotiating with treating physiotherapists to address injury recovery and treatment plans and educate them on completing AHTRs. This dynamic role requires someone who is adaptable and can identify opportunities for continuous improvement. This will be a full time, 10 month contract position based in the Sydney or Newcastle office, with work-from-home flexibility (up to 3 days per week) considered from month three, subject to performance and approval. YOUR RESPONSIBILITIES Develop and implement strategies to optimise treatment management processes and outcomes. Assess Allied Health Treatment Requests to support worker recovery in line with SIRA's Clinical Framework. Conduct file reviews and provide clinical opinions on treatment strategies, reviewing medical records and other relevant information. Liaise and negotiate with treating providers, doctors, specialists, and allied health professionals to facilitate treatment upgrades and manage treatment modalities. Identify the need for and refer to external services like Independent Physiotherapy Consultants or Independent Medical Examinations. Educate and train injured workers, employers, and operational team members on medical issues, best practices, and negotiation techniques related to workers' compensation claims. ABOUT YOU Bachelor's degree in Physiotherapy Current AHPRA registration Demonstrated (3 years +) in clinical physiotherapy practice, with a strong focus on musculoskeletal injuries. Well established knowledge of disability and injury management best practice Comprehensive understanding and demonstrated experience working in the personal injury industry, ideally with experience with the workers compensation insurance and legislation. Excellent communication and interpersonal skills, with the ability to effectively engage and negotiate with stakeholders at all levels. Excellent proficiency in Microsoft office suite. 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 specialist will utilize clinical expertise to review the effectiveness of physiotherapy treatment against SIRA's Clinical Framework and support claims teams by ensuring appropriate consideration in Allied Health Treatment Requests approval. This involves overseeing treatment progress, providing guidance to operational staff, and communicating/negotiating with treating physiotherapists regarding recovery and treatment plans.