Injury & Claims Leader — Return-to-Work Champion (Remote)

Sigma Healthcare; Melbourne; Hybrid; AUD 150,000 - 190,000; Full time

Benefits offered by this job

Learning programs

Salary reviews

Work from home

Paid parental leave

Employee discounts

EAP services

Onsite canteen

Shuttle bus

Job summary

Sigma Healthcare is seeking an Injury and Claims Manager to lead the strategic and operational management of workers' compensation and personal injury claims across our business. You will oversee complex claims, drive proactive return-to-work strategies and ensure compliance with legislation and insurance requirements.

Working closely with senior leaders and stakeholders, you will provide expert advice on claims performance and premium reduction opportunities, while developing the WorkCover team

Qualifications

• At least five years' experience in a senior WorkCover or workers' compensation role, with strong knowledge of claims management principles and relevant legislation.
• Demonstrated experience managing complex claims, return-to-work strategies, insurance policies and premiums, with experience using the Solv Injury platform.
• Strong leadership, strategic thinking and stakeholder management skills, with excellent communication, organisation and time management capabilities and the ability to manage competing priorities.

Responsibilities

• Oversee the end-to-end management of complex workers' compensation and personal injury claims, including claim notifications, investigations, liability decisions, treatment plans, injured worker payments and lump-sum settlements.
• Develop and implement proactive return-to-work plans in partnership with injured team members, managers, medical practitioners and rehabilitation providers to achieve sustainable outcomes.
• Provide strategic advice to senior management on claims trends, injury management and premium reduction opportunities.
• Manage insurance policies and premium requirements across the business and franchise network, ensuring policies remain accurate and current and premiums are paid within required timeframes.
• Monitor claims performance, identify trends and prepare reporting and insights to support informed decision-making and continuous improvement.
• Build and maintain effective relationships with insurers, legal representatives, rehabilitation providers and internal stakeholders to support positive claims outcomes.
• Lead, coach and develop the WorkCover team, setting clear expectations, managing performance and supporting individual development and capability.
• Drive improvements to claims management processes, governance and compliance, ensuring consistent application of workers' compensation legislation and internal policies.
• Oversee the team's operational priorities, ensuring appropriate resources, workflows and support are in place to meet business requirements.

Job description

Sigma Healthcare is seeking an Injury and Claims Manager to lead the strategic and operational management of workers' compensation and personal injury claims across our business. You will oversee complex claims, drive proactive return-to-work strategies and ensure compliance with legislation and insurance requirements.

Working closely with senior leaders and stakeholders, you will provide expert advice on claims performance and premium reduction opportunities, while developing the WorkCover team