Eligibility Officer - Workers Compensation
Core
Make decisions to accept or reject workers' compensation claims and transition cases to managers.
Role type
Claims adjudication officer
Builds
Claims decisions and case management workflows
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Claims assessment, legislative knowledge (Workplace Injury Rehabilitation & Compensation Act 2013), case management systems (ACCtion, Novus), Microsoft Office
Preferred skills
Paralegal experience, legal qualification, negotiation, continuous improvement
Responsibilities
Assess initial claims, calculate PIAWE, advise dispute resolution managers, identify recovery potential
Seniority
Mid-level IC
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