TriCare’s Head Office at Mt Gravatt is seeking a highly capable and experienced Workers Compensation Claims Officer to join our team, in a full-time capacity. This role supports aged care employees with their injury claims and helping workers recover safely. With competitive compensation and the opportunity to make a real impact, this is your chance to build a rewarding empathetic relationship in the outcome driven claims management field.
Reporting to the Workers Compensation and Administration Manager you will be responsible for the following duties:
- Accurate Claim Registration and Documentation: Meticulously register new ACES statutory workers’ compensation claims into the Self-insurance Management System (SOLV), ensuring comprehensive and accurate data entry to maintain compliance and prevent future errors in claims processing.
- Thorough Investigation of Claims Validity: Conduct in-depth investigations into statutory workers’ compensation claims, employing rigorous evidence-gathering techniques to validate the legitimacy of claims, thereby safeguarding the organization from fraudulent or inaccurate claims.
- Proactive Statutory Claims Management: Take a hands-on approach in managing the statutory claims portfolio, adhering closely to the ACES Workers’ Compensation Claims Manual and the Workers’ Compensation and Rehabilitation Act 2003 to drive claim resolutions in the shortest, safest timeframes.
- Strategic Case and Rehabilitation Planning: Develop tailored, outcome-focused case management and rehabilitation plans that promote an effective return-to-work transition, coordinating with all necessary stakeholders to enhance recovery outcomes for injured workers.
- Preparation of Comprehensive Decisions and Legislative Documentation: Draft detailed Reasons for Decision documents for each statutory claim as needed, maintaining a high standard of legal compliance and clarity to support transparency and regulatory requirements.
Your demonstrated capabilities include:
- Resilient Case Management: Demonstrates a proactive approach in handling complex claims, forging rehabilitation and return-to-work plans that are both structured and adaptable, focused on a swift yet safe reintegration for injured workers.
- Stakeholder Influence and Communication: Engages confidently and persuasively with all levels of stakeholders, from internal teams to external legal advisors, fostering a collaborative atmosphere to achieve optimal claim resolutions and uphold organisational integrity.
- Self-Driven Initiative: Maintains a high level of self-motivation, capable of working independently with minimal supervision, and thrives in navigating the intricacies of workers’ compensation processes with exceptional dedication and focus.
- Legislative Expertise and Compliance: Brings a comprehensive understanding of the Workers’ Compensation and Rehabilitation Act 2003, ensuring each claim aligns with legislative mandates, safeguarding both employee rights and organizational responsibilities.
Benefits of joining TriCare:
- Permanent full-time position with a good remuneration package
- Friendly workplace culture with onsite car parking and located a short distance from Westfield Garden City.
- Live and work your values for a company that provides back to the community and cares about people.
- Be part of a Workers Comp and Administration team delivering quality environments for elderly Australians to live in.
- Discounted Health Care Insurance
- Monthly Morning Tea and Friday afternoon socials are opportunities to network with colleagues across the other departments.
Please submit your resume and a cover letter (no more than one page), addressing your application to the Workers compensation and Administration Manager.
TriCare’s Head Office is a smoke-free workplace and does not consider applications received through recruiters.
A satisfactory Police Clearance Certificate is required according to the Aged Care Act 1997
