Eligibility Specialist

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

As part of our diverse team based in Parramatta, you will help make a positive impact on someone’s life every day, while working in a role that brings both purpose and technical depth.

The Eligibility Specialist plays a critical role in the early assessment of eligibility and liability for psychological injury claims. Operating within the National Self Insurance psychological claims framework, you will work closely with internal stakeholders across EML and self-insured clients, playing a key role in supporting the implementation and adoption of legislative reforms.

Working closely with Case Managers, Team Leaders, Managers, Technical Specialists, Mental Health Specialists and the Performance and Legal teams, the role provides guidance, coaching and decision support to uplift capability, support the implementation and adoption of legislative reforms, and ensure evidence-based decisions on complex claims.

This is a permanent, full-time position based in Sydney or Parramatta, with work-from-home flexibility (up to 3 days per week).

YOUR RESPONSIBILITIES

• Build specialised capability in early psychological injury claim assessment.
• Work closely with Case Managers to uplift their skills and confidence in applying new legislative requirements – particularly in relation to liability decision-making.
• You will play a critical and active role in conducting early triage and initial reviews of psychological injury claims, leading and endorsing liability decision-making within a shortened liability determination period.
• Set and guide investigation strategies, including factual, medical and workplace evidence.  
• You may also work closely and engage with, relevant self-insured clients to support shared understanding and interpretation of legislative requirements.

ABOUT YOU

• To apply for this role, you will have solid experience within Workers Compensation and may have been a Leader, Case Manager or Senior Case Manager previously.
• Advanced knowledge of workers’ compensation, injury management, and claims processes is a must.
• Excellent stakeholder management, including liaising with injured workers, employers, medical professionals, and insurers.
• Confidence in providing guidance, coaching, and technical support to others.

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.