Claims Specialist
12/15/2025
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.
Working Hours
40 hours/week
Company Size
1,001-5,000 employees
Language
English
Visa Sponsorship
No
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
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.
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