Claims Treatment Specialist (Psychology) at EML

Sydney, New South Wales, Australia -

Full Time

Start Date

Immediate

Expiry Date

27 Sep, 26

Salary

0.0

Posted On

29 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Psychological Assessment, Clinical Review, Case Management, Stakeholder Negotiation, Injury Management, Clinical Framework Application, Medical Record Review, Microsoft Office Suite, Interpersonal Communication, Clinical Guidance

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, 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. We seek three Claims Treatment Specialist – Psychologist, to join this newly created team here at EML. You will utilise your practical experience as a Psychology expert to review the effectiveness of Worker’s psychological and counselling 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 (AHTR’s), reviewing diagnoses, overseeing psychological treatment progress, and providing guidance and recommendations to build capability of operational team members to better assess and manage psychological treatment. The role also involves engaging directly with injured workers and partnering with treating psychologists and other providers to influence recovery outcomes. You will confidently communicate, negotiate and guide treatment direction, ensuring plans are aligned to best practice while providing education where needed. This is a dynamic role suited to someone who is adaptable, solutions focused and proactive in identifying opportunities to enhance outcomes and drive continuous improvement. This will be a full time, 18 month secondment/contract position based in our Sydney office, with work-from-home flexibility (up to 3 days per week) considered from month three, subject to performance and approval. KEY RESPONSIBILITIES Develop and implement strategies to optimise treatment management processes and outcomes. Assess AHTR’s 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 such as 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 Psychology Current AHPRA registration Demonstrated practical experience as a psychologist (clinical experience, ideally 5 years) 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

Review the effectiveness of psychological treatments for injured workers in alignment with SIRA's Clinical Framework. Provide clinical guidance to operational teams and negotiate treatment directions with healthcare providers to optimize recovery outcomes.