Eligibility Officer - 100% Remote

Job description
Seeking a decisive Eligibility Officer to drive impactful claims decisions. Embrace a role where your problem-solving skills can make a difference.



Working flexibility - Remote role in NSW outside Sydney Metro
Salary Range: $105,000 - $108,000 package
Develop and grow in your workers compensation career


HAYLO People are experts in Personal Injury and General Insurance recruitment, we are partnered with a new entrant to the NSW Nominal Insurer Scheme as one of its newest Claims Service Providers. Being part of a start-up environment where you can have a huge impact and work within the business as it grows in the coming year ahead, with lots of future career prospects.



The Eligibility Officer will assess claims, make decisions to accept/reject claims, and transition claims to Case Managers. The role involves calculating PIAWE, advising Dispute Resolution Managers on decision rationale, and identifying claim recovery potential. Strong technical knowledge of relevant legislation, resilience to achieve business objectives, and analytical and communication capability are key to success in this role.



This role is a great fit for Case Managers with experience in managing claims for front-end TMF (treasury management fund) portfolios.



The role

Assess and make decisions on the acceptance or rejection of claims.
Transition claims to Case Managers for ongoing management.
Resilience and perseverance.
Work management - attention to detail, organisational and planning skills.
Utilize strong technical knowledge of relevant legislation.
Identify barriers and make appropriate decisions.


About you

2 years or more experience in eligibility or as a Senior Case Manager looking to step up.
Strong working knowledge of Workplace Injury Rehabilitation & Compensation.
Act 2013 and associated Regulations, and/or a Legal Qualification
Flexibility and ability to adapt to change.
Intermediate to advanced knowledge of ACCtion and Novus, or similar cases.
Familiarity with WorkCover schemes.


Benefits

Salary Range: $105,000 - $108,000 package
Fully remote-based role if you are based in regional NSW and 2 days in office for Sydney Metro
Opportunity to develop and grow in your workers compensation career
Extensive well-being initiatives and discounts across a number of insurance products
Learning & development team with a structured career pathway


We believe in the freedom to be our authentic selves and welcome people of all genders, ages, nationalities, ethnicity, ****** orientations, personality, and perspectives to apply for any of our roles.



Haylo People is a specialist recruitment agency supporting the Personal Injury and Insurance industries. For more information or to discuss this role and the benefits of working with our client in further detail please contact Hani at hani.kumar@haylopeople.com.au.