21 Oct
|
Dxc Technology
|
Melbourne
21 Oct
Dxc Technology
Melbourne
Why join DXC Technology
DXC's Insurance Software and BPS (ISB) helps insurers around the world modernize and run their core operations at scale by combining deep industry expertise, proven software platforms, and innovative AI-driven solutions. A global market leader in core insurance platforms, ISB delivers solutions across policy administration, claims, billing, analytics, and digital engagement supporting Life & Annuity, Property & Casualty, and Specialty insurance markets. You’ll directly shape how the world's leading insurers operate by helping to transform the policy, underwriting, and claims systems that millions of people rely on every day.
Job Description
Why join DXC Technology
DXC's Insurance Software and BPS (ISB) helps insurers around the world modernize and run their core operations at scale by combining deep industry expertise, proven software platforms, and cutting-edge AI-driven solutions. A global market leader in core insurance platforms, ISB delivers solutions across policy administration, claims, billing, analytics, and digital engagement supporting Life & Annuity, Property & Casualty, and Specialty insurance markets. You’ll directly shape how the world's leading insurers operate by helping to transform the policy, underwriting, and claims systems that millions of people rely on every day.
The Eligibility Case Manager is responsible for the initial assessment, determination, and processing of workers’ compensation claims within a self-insured environment in Queensland. This role involves making timely and accurate eligibility decisions, either accepting or rejecting claims based on State legislative and regulatory requirements. Upon acceptance,
the role is responsible for approving the initial calculation of Pre-Injury Average Weekly Earnings (PIAWE) and corresponding Weekly Compensation entitlements before transitioning the claim to a dedicated Case Manager for ongoing claim management.
Key Responsibilities
Claims Management
- Assess new workers' compensation claims to determine eligibility in accordance with relevant State legislation, regulations and self-insurer guidelines.
- Conduct investigations into claims where liability is unclear, including gathering factual evidence, reviewing medical reports, consulting with stakeholders, and where necessary, commissioning independent assessments.
- Review and approve the initial calculation by the PIAWE specialist of Pre-Injury Average Weekly Earnings (PIAWE) and Weekly Compensation entitlements.
- Coordinate the timely and smooth transition of accepted claims to ongoing Case Managers with all relevant information and context.
- Liaise with payroll to verify earnings data and ensure accuracy in compensation payments.
Customer Service
- Provide timely responses to inquiries regarding eligibility and claim status to injured team members through the early stages of the claim process, ensuring they understand their rights and obligations.
- Communicate claim decisions to injured team members, employers, and other stakeholders in a professional, clear, and empathetic manner.
- Deliver a high standard of service that promotes trust and transparency.
Risk and Compliance
- Ensure strict compliance with all applicable workers’ compensation legislation, self-insurance requirements, and organisational policies.
- Maintain accurate claims data, documentation and up-to-date file notes by consistently recording all relevant information in Assure to support claims decisions and regulatory compliance.
- Identify potential risks within claims and collaborate on mitigation strategies.
Teamwork
- Contribute to a positive, supportive team environment that encourages open communication, shared learning, and collective accountability.
- Share knowledge and expertise to support team development and consistency in claims decision making.
- Collaborate effectively with internal and external stakeholders to ensure seamless service delivery.
The Skills You’ll Bring
To be successful in this role you should have:
Education
- A qualification or certification in a health or business-related field (highly desirable)
Experience
- Minimum of 3-5 years of experience in workers' compensation case management, preferably in a self-insured environment.
- Previous experience in assessing claim eligibility and determining liability in line with applicable legislation and internal policies.
- Proven ability to review and approve Pre-Injury Average Weekly Earnings (PIAWE) and Weekly Compensation calculatio
📌 Workers’ Comp Eligibility (Melbourne)
🏢 Dxc Technology
📍 Melbourne