Injury Management Specialist, CTP
Job Details
Full Job Description
THE ROLE
This role will involve reviewing and providing advice and coaching to our CTP team on various matters including:
- Rehabilitation Provider Referrals
- Treatment reviews and determinations
- Minor/Non-Minor Injury Decisions
- Development of Return to Work/Health strategies on claims
This role is based in Sydney , however as part of the CTP team you will be part of a wider group that includes teams in Brisbane, Adelaide and Melbourne.
As part of the NSW CTP team, you will be part of the wider CTP business unit that includes teams in South Australia and Victoria jurisdictions. This subject matter position ensures that our personal injury management practices in our claims teams are the most effective return to work, return to life and recovery strategies and to ensures we deliver the right customer experience.
This is a full time, permanent position based in our Sydney CBD office, with flexibility to work from home, once fully trained.
YOUR RESPONSIBILITIES
- Utilise reporting and systems available to identify and ensure daily compliance and legislative requirements are completed within timeframes along with sound data quality.
- Supporting Case Managers alongside the Team Leader and the Technical Specialists through the course of their day to achieve their daily activities to a high quality.
- Participate in regular panel reviews with Case Managers and key stakeholders focused on capability uplift in claims management strategy and project outcomes.
- Review treatment requests and provide support and coaching to meet quality standards and compliance to ensure decisions are fair, reasonable and accord with the relevant legislation, regulations, and guidelines.
- Communicate with internal and external stakeholders.
- Support Case Managers in areas such as medical spend initiatives and approval of payment of medical, hospital and rehabilitation expenses.
- Provide regular training to Case Managers & other Specialists where there is opportunity for continuous improvement or changes in process and/or legislation.
- In conjunction with the Team Leader identify, develop, and implement effective strategies to support the achievement of key performance and remuneration measures.
- Providing review and sign off on decisions Minor/Non-Minor Injuries, treatment, and other injury management requirements.
ABOUT YOU
- You enjoy sharing knowledge and coaching.
- Strong oral and writer communication skills and a passion for working in a team environment to achieve outcomes, customer focused approach and someone who loves attention to detail.
- Demonstrated experience in Injury management, particularly high risk significant injury claims.
- Tertiary studies in Allied Health (Occupational Therapy, Physiotherapy, Rehabilitation, Exercise Science, Nursing, or other Allied Health Field), is required.
- Experience in injury management in rehabilitation/insurance/workers compensation is desirable.
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. For more information on EML’s employee benefits please visit your Employee Hub here.
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. For alternative formats to submit your application or for more information on the position, please contact Mathanki Thevaseyan on
As part of the internal application process, you will be required to attach a copy of your direct leaders approval (for NI employees, you will be required to attach a copy of your Segment Managers approval) as well as your most recent My 1-1 performance Review to your application. A “How To” guide is available on the internal application form.
NI employees only (you will be required to attach your latest EML Grow profile during your application)
Claims Advisors - please note you are required to be at EML Grow Level 2 to apply to positions across the business.
- Team Leader, Technical Specialist, or Injury Management Specialist applications - please note EML Grow Level 3, Senior Case Manager or current Specialist level is required to be able to apply these positions.