Eligibility Case Manager

DXC Technology Company; Melbourne; On-site; AUD 80,000 - 100,000; Full time

Benefits offered by this job

Extensive onboarding resources

Referral reward program

Flexible leave options

Volunteer days

Employee Assistance Program

Novated leasing

Discounted health insurance

Paid parental leave

Job summary

DXC Technology is looking for an Eligibility Case Manager based in Melbourne, Australia. This role involves assessing and processing workers’ compensation claims in accordance with State regulations. The successful candidate will be responsible for making accurate eligibility decisions and ensuring claims are managed properly.

With a focus on compliance, customer service, and collaboration, the ideal applicant will have a strong background in case management and excellent communication skills. This role offers flexibility and a range of benefits to support employees' well-being.

Qualifications

• Minimum of 3-5 years of experience in workers' compensation case management, preferably in a self-insured environment.
• Experience in assessing claim eligibility and determining liability according to legislation.
• Ability to review and approve Pre-Injury Average Weekly Earnings (PIAWE) calculations.

Responsibilities

• Assess new workers' compensation claims to determine eligibility.
• Provide timely responses regarding eligibility and claim status.
• Ensure compliance with workers’ compensation legislation and policies.

Skills

Analytical and problem-solving skills

Attention to detail

Communication skills

Interpersonal skills

Organizational skills

Microsoft Office Suite proficiency

Education

Qualification or certification in health or business-related field

Job description

Job Description

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

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 calculations.
• Background in investigating claims, including gathering and analysing evidence to make informed liability decisions.
• Experience working collaboratively in a multidisciplinary team, including with case managers, payroll, and legal advisors.

Skills

• Strong analytical and problem-solving skills, with the ability to interpret complex information and provide clear, evidence-based decisions.
• High attention to detail and accuracy in both documentation and decision‑making process.
• Excellent written and verbal communication skills, with the ability to deliver complex information clearly, empathetically, and professionally.
• Strong interpersonal and influencing skills with the ability to engage and collaborate effectively across all levels.
• Effective organisational and time management skills, with the ability to manage competing priorities and meet deadlines.
• Proficient in Microsoft Office Suite.

Our Culture and Benefits

• Extensive resources to support your onboarding and continual development including DXC University.
• Referral reward program.
• Flexible leave options, including purchased leave.
• Volunteer days for charitable and emergency services.
• Employee Assistance Program for well‑being support.
• All basics: novated leasing, discounted health insurance, paid parental leave and many other discounts.

Equal Opportunity Employer

DXC is proud to be an equal opportunity employer and welcomes submissions from people from all walks of life. We celebrate our diversity and recognise that the unique contributions of our people give us our edge. We stand by the ‘bring your whole‑self to work’ philosophy and foster an inclusive culture that powers our results. Accommodation of special needs for qualified candidates may be considered within the framework of the DXC Accommodation Policy, and DXC Technology is committed to providing reasonable accommodation to support qualified individuals with physical and mental disabilities.