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Case Manager – Eligibility
QBE InsuranceCase 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.
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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Eligibility AssessmentLiability Decision-MakingClaims ManagementRegulatory ComplianceDocumentation Maintenance
Soft Skills
ResilienceSound JudgementCollaborationAdaptabilityEmpathy