Eligibility Officer

Introduction Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing.
You'll be part of a resilient team that works together to redefine the boundaries of excellence.
At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference.
GUIDE.
GUARD.
GO BEYOND.We believe that every candidate brings something special to the table, including you
So, even if you feel that you're close but not an exact match, we encourage you to apply. Overview Grow with GB
Industry leader in offering career development opportunities Flexible and hybrid working arrangements including Work from Home & OfficeSomething for everyone - range of staff benefits, discounts & wellbeing programs About the RoleAs an Eligibility Officer, you will be the first point of contact in the lodgment of newly received Workers Compensation claims.
You'll be responsible for using claims legislation and case law to coordinate and obtain information from key stakeholders to determine the acceptance or rejection of claims, and communicate decisions and updates with Injured Workers and Employers.
The key focus of the Eligibility process is to determine, for recently lodged claims, if the claims is compensible within Workers Compensation frameworks, and investigating if the injury sustained is as a result of work.
In this fast-paced role, you'll utilize your analytical skills and technical knowledge to make fair and accurate decisions on claims within 28 days.
You'll also be responsible for conducting investigations as necessary to ensure every decision made for new claims is of the highest quality and consideration for our customers. How you'll make an impact You will add value to Gallagher Bassett across the following: Making sustainable, appropriate and quality initial liability determinations for your portfolio of Work Cover claims within 28 daysCommunicating claims updates and outcomes to injured workers and employers relating to the Eligibility processDriving an effective investigatory process in order to make quality decision when determining initial liability for claimsProviding a quality customer service experience for our internal and external customersAccurately calculating all pre-injury average weekly earnings for injured workersCommunicating the initial decision rational to the Dispute Resolution Team to support the conciliation processWorking together with your Team Manager, Case Managers, Technical Managers and WorkSafe staff to determine liability and review of entitlement About you What are we looking for? Our Eligibility team is looking for a candidate who either already has, or wants to develop their technical skills in the Eligibility process and also has: Experience in a Worker's Compensation Eligibility role, Case Management role, general insurance or a similar position from a different industry (please note prior eligibility experience is not essential to your success)Exceptional time management and organizational skills, and the ability to prioritise your tasksReceptivity to continued learning and trainingInvestigative and evidence-based decision-making skillsStrong verbal and written communication What we can offer you: Attractive remuneration packaging & flexible work arrangements including Work from HomePaid Parental LeaveExcellent working environment – our team at GB is renowned for it's dedicated and approachable people as well as its friendly, flexible and inclusive working environment which is built around great team support and rewarding opportunities;Exciting career – as our Company grows, so do the opportunities for our people;Opportunities for ongoing education and development through both external and internal programs delivered by our own claims training expertsService recognition awards; and employee assistance program for yourself and immediate family members.A dedication to your wellbeing through our peer support program, corporate health insurance discounts and wellness programsAdditional purchased leave, novated leases, and access to the Gallagher Rewards Program (including discounts/cash-back for hundreds of retailers
)Birthday Club - have a day off during your birthday month as a gift from GB To apply If this sounds like the opportunity you have been looking for, we want to connect Click on Apply for this job. To be considered for this opportunity you must have right to live and work in Australia when applying. Agency applicants will not be considered for this position. Gallagher Bassett is an Equal Opportunity Employer and Indigenous Australian applicants are encouraged to apply.
As a member of the Diversity Council Australia, we recognise the importance of, and embrace diversity in the workplace.
We will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Compensation and benefits On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Below are the minimum core benefits you'll get, depending on your job level these benefits may improve: 4 weeks annual leave plus up to 2 weeks additional purchased Lifestyle LeaveNovated Leasing opportunities Two paid volunteer days annually Health Insurance Discounts with our Group Insurance Plan Employee Stock Purchase Program Paid parental leaveOther benefits include: Flexible and hybrid work arrangements Mental Health and Wellbeing Support for yourself and immediate family members Employee Recognition Awards and Service Milestone Recognitions Peer Support Program Annual flu vaccinations Access to Reward Gateway – discount offers at over 350 retailers
And more...We value inclusion and diversity Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization.
For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities.
We see inclusion as a conscious commitment and diversity as a vital strength.
By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as "protected characteristics") by applicable federal, state, or local laws.
Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination.
In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.