Hybrid Dispute Resolution Specialist – Workers' Comp

GIO; Sydney; Hybrid; AUD 90,000 - 120,000; Full time

Benefits offered by this job

Shine platform

Incentives

Hybrid working

Parental leave

Study support

Wellbeing coaching

Discounts

Volunteer leave

Job summary

GIO, a Suncorp brand, is seeking a Dispute Resolution Specialist to join the Personal Injury Dispute Resolution team in Brisbane or Sydney. You will independently review disputed workers compensation decisions under NSW legislation, ensuring fairness and timeliness.

Collaborating with claims teams, legal stakeholders, injured workers and employers, you will provide clear, legally sound outcomes and drive continuous improvement while working from home three days per week.

Qualifications

• Demonstrated experience in workers compensation claims management, dispute resolution, legal review, or injury management.
• Ideally a background in Dispute Resolution, or experience as a Claims Specialist eg Technical Specialist, Technical Advisor or Injury Management Advisor.
• Strong knowledge of the NSW workers compensation legislative framework.
• Experience interpreting legislation, policy, medical information, and claim documentation.
• Excellent written communication skills with the ability to prepare detailed and defensible decisions.
• Strong stakeholder management and negotiation skills.
• Ability to work autonomously while managing competing priorities and strict deadlines.

Responsibilities

• Conduct independent reviews of disputed workers compensation decisions, including:
• Work capacity decisions
• PIAWE (Pre-Injury Average Weekly Earnings) determinations
• Liability disputes and denied claim components
• Assess complex factual, medical, legal, and claims information.
• Analyse claims files and supporting evidence to determine whether the original decision should be affirmed, amended, or overturned.
• Prepare clear, professional, and legally sound review determinations.
• Ensure all reviews are completed within the legislated 14-day timeframe.
• Engage with internal and external stakeholders to obtain additional information where required.
• Identify systemic issues, risks, and opportunities for continuous improvement.
• Contribute to dispute resolution strategies that improve decision quality and customer outcomes.
• Maintain compliance with NSW workers compensation legislation, SIRA guidelines, and organisational policies.

Skills

Dispute resolution

Claims management

Legal review

Job description

GIO, a Suncorp brand, is seeking a Dispute Resolution Specialist to join the Personal Injury Dispute Resolution team in Brisbane or Sydney. You will independently review disputed workers compensation decisions under NSW legislation, ensuring fairness and timeliness.

Collaborating with claims teams, legal stakeholders, injured workers and employers, you will provide clear, legally sound outcomes and drive continuous improvement while working from home three days per week.