Eligibility Officer - Complex Claims

📁
Claims
📅
68997 Requisition #

Your Role

Life at GB is an adventure – often fast paced, unpredictable, challenging and deeply rewarding. We are establishing a brand-new team to manage technically complex claims.  The team will initially focus on Noise Induced Hearing Loss claims, but will provide an opportunity to expand further to manage more technically complex claims. 

This newly established Complex Claims Team will report through to our Senior Legal Manager, which will provide greater cross-skilling and knowledge transfer with our Technical Managers.  This team will focus on technical excellence and allow for varying levels of technical expertise, and clear opportunities for development and progression.

In this role you will be the first point of contact responsible for coordinating and obtaining information from key stakeholders to determine the acceptance or rejection of the claim in line with legislation.  Your strength in technical knowledge and resilience to achieve business and Return to Work SA objectives, through utilisation of your analytical and communication capability will see you succeed in this position.

You will add value to Gallagher Bassett across the following:

  • Actively listen, show empathy and recognise the needs of the worker and employer
  • Consider Compliance, Medical Relationship, Employment Relationship and Exclusionary Provisions when reviewing liability;
  • Identifying any potential barriers and providing effective strategies for eligibility outcomes;
  • Communicating all decisions to the employer and the injured worker
  • Providing education to Workers, Employer and Treating Medical Practioner in respect to rights and responsibilities;
  • Delivering a high level of service to achieve a positive, safe and sustained return to work as early as possible in a high-pressure environment
  • Creating new claims at time of registration via phone and ensuring all relevant data and information is captured within the appropriate systems.

We’re interested in hearing from people who possess:

  • Demonstrated ability to be resilient and to interact empathetically with people in vulnerable situation.
  • Claims management experience and knowledge of relevant acts and legislative requirements
  • Understanding the rights and responsibilities of people who are impacted by a workplace injury
  • Ability to make sound decisions, negotiate and influence are essential to the success of this role
  • Bachelor of Law is highly desirable.

If you live our values and demonstrate the people capabilities, we can not only offer you great career opportunities, but on a day to day you’ll experience the following:

  • True flexible work hours
  • Staff referral incentive
  • Opportunities for ongoing education and development
  • Service recognition awards to celebrate your contribution to the company
  • Employee assistance program for yourself and your immediate family members
  • Staff benefits program with a wide range of discounts on offer
  • The opportunity to work for a company that gives back to the community through our Gentle Bear program
  • A fun, supportive and inclusive working environment

 

A brief overview on GB:

Gallagher Bassett is Australia’s largest Third Party Administrator (TPA). Our focus is refreshingly simple: we manage insurance claims on behalf of insurers, brokers, government bodies and self-insured corporations.

Gallagher Bassett (GB) has six offices in Australia located in Northern Territory, Adelaide, Perth, Brisbane, Melbourne and Sydney, employing over 1000 staff.

GB values its employees and offers a friendly, comfortable working environment that facilitates a Work and Life Balance!

If this sounds interesting to you – we want to connect!

If you think you can make a positive difference to our business please apply – we want to hear from you today!!

GB is an Equal Opportunity Employer and as a member of the Diversity Council Australia, we recognise the importance of, and embrace diversity in the workplace.

To be considered for this opportunity you must have the right to live and work in Australia when applying.

Agency applicants will not be considered for this role.

 

 

Please Note:

Gallagher never extends an offer of employment or requests any personal identification information without having received an online application and conducted one or more in-person or video interviews. If you have received any communication referencing the offer of a job at Gallagher and you have not submitted an online application or been interviewed by a Gallagher employee, please do not assume that the offer is being sent from a legitimate Gallagher representative.

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