Monitored Claims Officer

Work Initiatives; Brisbane; On-site; AUD 75,000 - 105,000; Full time

Benefits offered by this job

Hybrid work arrangements

Competitive salary

Learning & development

Health & wellbeing

Study assistance

Superannuation

Job summary

WorkCover Queensland hires for a role based in Brisbane CBD to manage a portfolio of workers' compensation claims. You will coordinate treatment, recovery and return-to-work needs, while engaging with injured workers, employers and healthcare providers to achieve positive outcomes.

You will gather information, monitor progress and develop rehabilitation plans, ensuring compliance with legislative requirements.

Qualifications

• Excellent time management with ability to handle a high-volume caseload.
• Strong problem-solving and decision-making in claims outcomes.
• Confident communicator with diverse stakeholders across injured workers, employers and clinicians.
• Understanding of medical terminology and healthcare processes preferred but not essential.

Responsibilities

• Own a portfolio of accepted claims for treatment, recovery and return-to-work needs.
• Gather and analyse information to support ongoing treatment and return-to-work.
• Develop and maintain rehabilitation and return-to-work plans aligned with needs and legislation.
• Ensure liability decisions align with legislative requirements when needed.

Skills

Time management

Communication

Problem solving

Stakeholder engagement

Medical terminology

Insurance/WorkCover knowledge

Job description

Job no: 494678
Work type: Permanent - Full Time
Location: Brisbane CBD
Categories: Claims and Customer Support/Contact Centre

WorkCover Queensland is entering an exciting new chapter, guided by a renewed strategic focus and strong executive leadership shaping our 2030 Strategy. We’re embarking on an enterprise-wide transformation to strengthen our impact and continue making a positive difference in people’s lives.

The OpportunityIn this rewarding role, you'll manage a portfolio of workers' compensation claims, providing exceptional service to injured workers, employers, and healthcare providers. Based from our modern Brisbane CBD office, you'll collaborate with a dynamic team committed to achieving positive outcomes.

• Own a portfolio of accepted claims for customers across all industries in relation to treatment recovery and return to work needs by monitoring risk and identifying interventions required to influence optimal claim outcomes
• Gather and analyse information to support a worker’s ongoing treatment and return to work following claim acceptance
• Develop and maintain rehabilitation and return to work plans in line with workers’ needs, treatment requirements and legislation
• Ensure liability decisions are made on claims in line with legislative requirements as needed

About YouYou’re a proactive communicator who thrives in phone-based interactions. Healthcare experience, such as a practice manager, nurse, physiotherapist or similar, along with insurance experience, would be advantageous but is not essential. You’ll succeed in this role if you:

• Have exceptional time management skills and the ability to manage high-volume caseloads
• Demonstrate strong problem-solving skills and the ability to assess claim outcomes, proactively mitigating risks and impacts
• Communicate confidently and enjoy building positive relationships with diverse stakeholders, including injured workers, employers and medical professionals
• Understand medical terminology and healthcare processes (preferred)
• Have experience in insurance or workers’ compensation environments (advantageous)

Why Join Us
Our vision is to be the best workers’ compensation insurer, making a positive difference to people’s lives and keeping Queenslanders working. At WorkCover, we deliver with heart, own our outcomes, work best together and stay open to what’s possible - and we’re looking for people who share these values.

When you join us, you’ll benefit from:

• A purpose driven organisation where your work genuinely makes a positive impact on Queenslanders’ lives
• A collaborative and supportive team environment that values empathy, trust and working together
• Hybrid work arrangements that support flexibility and work-life balance
• Personalised learning and development opportunities to support your growth and career progression
• A holistic health and wellbeing program designed to support you both professionally and personally
• Industry competitive salaries
• A generous superannuation scheme, including co-contribution
• Study assistance to support ongoing education and professional development

Please note: As part of our recruitment process, shortlisted candidates will be required to attend a collaborative three-hour in-person Information and Interview session on a specified date. This intake will commence in early December. Applicants must be available to work throughout the Christmas and New Year period, as leave cannot be accommodated during the first 12 weeks, excluding public holidays.

We are committed to ensuring WorkCover reflects the diversity of the Queensland community. We welcome applications from First Nations peoples, members of the LGBTQIA+SB community, people of all ages, people who are neurodivergent, people with disability, and people from culturally and linguistically diverse backgrounds.

To ensure you have the best and most inclusive experience, please let us know if you require any reasonable adjustments or accommodations to help you confidently showcase your skills and potential. You can contact us at ***********@workcoverqld.com.au or let our recruitment team know during your conversation with them.

Pre-employment checks will be conducted on all prospective employees. This includes a Right to Work in Australia Check, Police Check, Education Check, Reference Check, and where appropriate a Visa Check. The information provided will be treated as confidential in accordance with the Information Privacy Act 2009 (Qld). All permanent appointments are subject to a probationary period in accordance with our policy.