Claims Officer
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What you'll do
- Participate in a structured learning journey, building foundational knowledge while contributing to a positive customer experience and overall business performance.
- Review medical and supporting documentation, included complex surgical requests, to make informed, evidence-based decisions in line with legislative and policy requirements
- Analyse surgical procedures and medical treatment plans, identifying gaps or inconsistencies and requesting additional clinical information where required.
- Engage with workers, employers, treatment providers and key stakeholders to support injury recovery and return-to-work outcomes.
- Proactively identify, report and escalate any emerging or potential risks to management in a timely manner.
What they're looking for
- Strong communication skills, with the ability to engage confidently with medical professionals, stakeholders and customers across phone and written channels.
- Ability to interpret and apply medical information such as reports, treatment plans or clinical notes to support informed, evidence-based decision making.
- Demonstrated customer focus, with the ability to take a holistic approach while remaining objective, empathetic and professional in sensitive situations.
- Highly organised with strong time management skills, able to manage competing priorities in a fast-paced environment.
Nice to have
- Experience with Salesforce and the Microsoft Office Suite is advantageous, but not essential.
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
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
Looking to start a career where you can learn, grow, and make a real difference? Join our supportive team in Adelaide, where you'll play an important role in helping people navigate the claims process while building valuable skills and experience along the way.
As a Claims Officer, you'll receive hands-on training and support from experienced team members, giving you the opportunity to develop your understanding of claims management, return-to-work schemes, and legislation. You'll work with a variety of stakeholders, gain exposure to different areas of the business, and build a strong foundation for future career opportunities, including pathways into roles such as Eligibility Officer and Claims Specialist.
No two days are the same, and you'll have the opportunity to positively impact the lives of injured workers, employers, and treatment providers while developing your communication, problem-solving, and relationship-building skills in a rewarding and purpose-driven environment.
This will be a permanent, full-time position based in our Adelaide office. Once fully trained, you'll enjoy the flexibility of a hybrid working arrangement, with the opportunity to work from home up to 2 days per week, supporting a healthy work-life balance while continuing to build your career with a supportive and colloborative team.
YOUR RESPONSIBILITIES
Participate in a structured learning journey, building foundational knowledge while contributing to a positive customer experience and overall business performance.
Review medical and supporting documentation, included complex surgical requests, to make informed, evidence-based decisions in line with legislative and policy requirements
Analyse surgical procedures and medical treatment plans, identifying gaps or inconsistencies and requesting additional clinical information where required.
Engage with workers, employers, treatment providers and key stakeholders to support injury recovery and return-to-work outcomes.
Proactively identify, report and escalate any emerging or potential risks to management in a timely manner.
ABOUT YOU
Strong communication skills, with the ability to engage confidently with medical professionals, stakeholders and customers across phone and written channels.
Ability to interpret and apply medical information such as reports, treatment plans or clinical notes to support informed, evidence-based decision making.
Demonstrated customer focus, with the ability to take a holistic approach while remaining objective, empathetic and professional in sensitive situations.
Experience with Salesforce and the Microsoft Office Suite is advantageous, but not essential.
Highly organised with strong time management skills, able to manage competing priorities in a fast-paced environment.
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.
Company
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