Mental Injury Claims Assessment Specialist

Empire Group; Brisbane; On-site; AUD 70,000 - 100,000; Full time

Job summary

Empire Group is seeking a Claims Assessment Advisor to evaluate complex claims, with a focus on mental injuries. The role combines investigation, analysis and decision-making, ensuring clear, well-reasoned outcomes while supporting recovery and return-to-work goals.

You will engage with individuals, employers, and providers to understand each claim and reach fair, timely conclusions, applying legislation and policy to withstand external review.

Qualifications

• Strong analytical skills and the ability to evaluate evidence from multiple sources.
• Clear written communication with the ability to explain and substantiate decisions.
• Empathy and professionalism when working with vulnerable people and sensitive information.
• Confidence navigating difficult conversations with a range of stakeholders.
• Resilience, organisation and a commitment to fair and consistent outcomes.

Responsibilities

• Assessing and determining liability for complex claims, with a focus on mental injuries.
• Reviewing medical evidence, factual reports and workplace information to establish circumstances of each claim.
• Applying relevant legislation and policy to make evidence-based decisions that can withstand external review.
• Clearly documenting reasoning and communicating decisions professionally and empathetically, including adverse outcomes.
• Supporting early recovery and return-to-work opportunities through proactive stakeholder engagement.
• Managing competing priorities while maintaining accuracy and sound judgment.

Skills

Analytical skills

Evidence evaluation

Written communication

Empathy

Stakeholder engagement

Resilience

Job description

Empire Group is seeking a Claims Assessment Advisor to evaluate complex claims, with a focus on mental injuries. The role combines investigation, analysis and decision-making, ensuring clear, well-reasoned outcomes while supporting recovery and return-to-work goals.

You will engage with individuals, employers, and providers to understand each claim and reach fair, timely conclusions, applying legislation and policy to withstand external review.