Case Manager – Eligibility

QBE Insurance

Case Manager assessing and managing eligibility decisions within the workers’ compensation Nominal Insurer scheme. Collaborating with stakeholders to maintain compliance and documentation in a changing legislative environment.

Posted 7/9/2026full-timeParramatta • 🇦🇺 AustraliaMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing workers' compensation and liability claims while applying legislative frameworks to ensure compliance and accuracy. Exhibits strong organizational skills and effective communication abilities to navigate high-volume, time-sensitive environments.

Highest-signal resume keywords

Workers' Compensation ExperienceLegislative Framework ApplicationOrganizational SkillsClear Communication SkillsAttention to Detail

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Eligibility AssessmentLiability Decision-MakingClaims ManagementRegulatory ComplianceDocumentation Maintenance

Soft Skills

ResilienceSound JudgementCollaborationAdaptabilityEmpathy

Industry Keywords

CTP ClaimsDispute ResolutionStatutory FrameworksHigh-Volume ClaimsContinuous Improvement

About the role

Key responsibilities & impact

Assess and manage eligibility and liability decisions for high ‑ volume, high ‑ turnover claims within the Nominal Insurer scheme.
Apply relevant legislation, guidelines, and frameworks to support accurate, timely, and compliant decision ‑ making in line with legislative reform requirements.
Manage work across competing priorities without a traditional portfolio, responding efficiently to changing workloads and time ‑ critical tasks.
Communicate clearly and empathetically with injured workers, employers, legal representatives, and internal stakeholders regarding eligibility outcomes.
Maintain accurate, compliant documentation in line with regulatory, contractual, and audit requirements.
Contribute to a newly formed team environment, supporting continuous improvement and helping embed new ways of working as reforms are implemented.

Requirements

What you’ll need

Demonstrated experience in workers’ compensation, CTP, legal, or disputes ‑ based claims environments, with exposure to eligibility, liability, or decision ‑ driven claim work.
A strong understanding of legislative and statutory frameworks, with the ability to interpret and apply them confidently in a changing environment.
Excellent organisational and time management skills, with the ability to perform under pressure in a high ‑ volume setting.
Clear, confident written and verbal communication skills, with the ability to explain complex decisions in a fair and professional manner.
Demonstrated resilience, sound judgement, and attention to detail when managing sensitive or time ‑ critical matters.
A collaborative, adaptable mindset, with a willingness to learn and contribute to a newly formed team navigating change.

Benefits

Comp & perks

‘Hybrid Working’ – a mix of working from home and in the office to enhance your work/life balance
Free holistic wellbeing coaching, nutritional, confidential counselling, financial and legal advice
18 weeks’ gender-equal flexible leave for all new parents, including paid super