Claims Treatment Specialist (Psychology)
External
Eml · Sydney, AustraliaPrepare for this interview
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About the role
As part of our diverse team based in Sydney , you will help make a positive impact on someone's life every day. You will feel great satisfaction knowing your talent and hard work has a purpose. We seek three Claims Treatment Specialist - Psychologist, to join this newly created team here at EML. You will utilise your practical experience as a Psychology expert to review the effectiveness of Worker's psychological and counselling treatment in line with SIRA's Clinical Framework of the Delivery of Health Services. You will support claims teams by ensuring the right questions are considered in the approval of Allied Health Treatment Requests (AHTR's), reviewing diagnoses, overseeing psychological treatment progress, and providing guidance and recommendations to build capability of operational team members to better assess and manage psychological treatment. The role also involves engaging directly with injured workers and partnering with treating psychologists and other providers to influence recovery outcomes. You will confidently communicate, negotiate and guide treatment direction, ensuring plans are aligned to best practice while providing education where needed. This is a dynamic role suited to someone who is adaptable, solutions focused and proactive in identifying opportunities to enhance outcomes and drive continuous improvement. This will be a full time, 18 month secondment/contract position based in our Sydney office, with work-from-home flexibility (up to 3 days per week) considered from month three, subject to performance and approval.
Responsibilities
- Develop and implement strategies to optimise treatment management processes and outcomes.
- Assess AHTR's to support worker recovery in line with SIRA's Clinical Framework.
- Conduct file reviews and provide clinical opinions on treatment strategies, reviewing medical records and other relevant information.
- Liaise and negotiate with treating providers, doctors, specialists, and allied health professionals to facilitate treatment upgrades and manage treatment modalities.
- Identify the need for and refer to external services such as Independent Medical Examinations.
- Educate and train injured workers, employers, and operational team members on medical issues, best practices, and negotiation techniques related to workers' compensation claims.
- ABOUT YOU
- Bachelor's degree in Psychology
- Current AHPRA registration
- Demonstrated practical experience as a psychologist (clinical experience, ideally 5 years)
- Well established knowledge of disability and injury management best practice
- Comprehensive understanding and demonstrated experience working in the personal injury industry, ideally with experience with the workers compensation insurance and legislation
- Excellent communication and interpersonal skills, with the ability to effectively engage and negotiate with stakeholders at all levels
- Excellent proficiency in Microsoft office suite.
Benefits
Additional Information
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.
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