Eligibility Officer
Core
Make decisions to accept or reject insurance claims, calculate PIAWE, and transition claims to Case Managers.
Role type
Claims adjudication officer
Builds
Insurance claims decisions and case management workflows
Domain
Insurance / Workplace Injury Rehabilitation & Compensation
Deliverable
client delivery
Required skills
Claims assessment, legislative knowledge (Workplace Injury Rehabilitation & Compensation Act 2013), case management systems (ACCtion, Novus), analytical capability, communication
Preferred skills
Paralegal or legal assistant experience, negotiation, continuous improvement
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