Senior Claims Assessor, Workers Compensation

Liverpool City Council; Liverpool; On-site; AUD 110,000 - 140,000; Full time

Benefits offered by this job

Flexible / Hybrid work

Free parking nearby

Fitness Passport membership

Professional Learning and Development

Job summary

Liverpool City Council is seeking a Senior Claims Assessor to manage the end-to-end workers compensation portfolio, ensuring compliance with NSW legislation and SIRA guidelines. The role requires proficient case management and collaboration with external providers.

You'll review complex liability decisions, support early returns to work, and act as the escalation point for technical claims discussions. NSW Self Insurance experience preferred.

Qualifications

• Tertiary qualifications and/or extensive experience in managing workers compensation claims for a self-insured company.
• SIRA endorsed Return To Work Certificate.
• Current C Class License.

Responsibilities

• Manage an end-to-end portfolio of physical and psychological workers compensation claims in line with best practice case management processes, ensuring compliance with relevant NSW Workers Compensation and Injury Management Legislation, State Insurance Regulatory Authority guidelines, Council procedures, and the NSW Self-Insurers Association-Workers Compensation Claims procedures.
• Review liability decisions and, where appropriately delegated, determine, accept or decline workers compensation claims in accordance with legislative requirements and procedural fairness principles.
• Review, endorse and/or co-sign complex claim declinations and dispute decisions prior to issue, ensuring decisions are legally sound, evidence-based and compliant with applicable legislation and SIRA requirements.
• Deliver proactive claims liability review, determination and advisory services that enables the early return to work and mitigation of lost time injuries from start to end of claim.
• Be the key escalation point for technical claims discussions and be highly competent to manage high complexity claims.
• Manage external service providers including solicitors, barristers, independent medical examiners, rehabilitation providers and investigators.

Skills

Case management

Claims processing

Data analysis

Decision making

Education

Tertiary qualifications in workers compensation

SIRA endorsed Return To Work Certificate

Current C Class License

Job description

Senior Claims Assessor, Workers Compensation

Senior Claims Assessor, Workers Compensation

WHY US:

There’s a lot going on at Liverpool City Council, as we plan an exciting future for our city. With current work on significant major projects, and many more in the pipeline, their success is underpinned by professional business-focused teams. Talk to us for career-shaping opportunities in a modern organisation and make a lasting impact.

JOB DESCRIPTION

To process all workers' compensation claims and manage the end-to-end portfolio of claims in a prompt, accurate, professional, and commercially effective manner.

Provide effective case management in accordance with relevant legislation, including the Self-Insurance Licence and SIRA Workers Compensation Legislation (NSW).

Adhere to requirements contained in relevant legislation, standards, codes of practice, and internal policies while performing duties. Ensure compliance and promptly advise the Supervisor/Coordinator if any legislative changes are identified.

ABOUT YOU

Processing Workers Compensation Claims

• Manage an end-to-end portfolio of physical and psychological workers compensation claims in line with best practice case management processes, ensuring compliance with relevant NSW Workers Compensation and Injury Management Legislation, State Insurance Regulatory Authority guidelines, Council procedures, and the NSW Self-Insurers Association-Workers Compensation Claims procedures.
• Review liability decisions and, where appropriately delegated, determine, accept or decline workers compensation claims in accordance with legislative requirements and procedural fairness principles.
• Review, endorse and/or co-sign complex claim declinations and dispute decisions prior to issue, ensuring decisions are legally sound, evidence-based and compliant with applicable legislation and SIRA requirements.
• Deliver proactive claims liability review, determination and advisory services that enables the early return to work and mitigation of lost time injuries from start to end of claim.
• Be the key escalation point for technical claims discussions and be highly competent to manage high complexity claims.
• Manage external service providers including solicitors, barristers, independent medical examiners, rehabilitation providers and investigators.

Injury Care and Referrals

• Provide care for workers injured or ill, referring them to medical practitioners or hospitals as required.
• Injury Management and Return to Work Process: Complete all necessary steps in the injury management and return-to-work processes, including but not limited to:
  • Liaising with the Work Health and Safety Unit for injury investigations.
  • Completing the 3-point contact process, including contacting the injured worker, the nominated treating doctor, or other treatment practitioners, and the supervisor.

Qualifications/Licences

• Tertiary qualifications and/or extensive experience in managing workers compensation claims for a self-insured company
• SIRA endorsed Return To Work Certificate
• Current C Class License

Experience

• An experienced Senior Claims Assessor with 5 years+ of NSW Self Insurance experience in end-to-end claims management.
• Demonstrated experience managing complex physical and psychological injuries.
• Demonstrated ability maintaining databases, with an ability to extract and analyse data including preparation of graphs and reports with a high level of accuracy.
• Demonstrated ability to make sound, evidence-based decisions at short notice and communicate these effectively.
• Demonstrated experience managing work injury damages claims, permanent impairment claims, commutations, common law matters and complex legal disputes.

BENEFITS OF WORKING AT LCC

• Be rewarded with an attractive annual salary package (Salary will be dependent upon the relevant skills, experience, and competencies of the successful applicant.)
• Flexible work arrangements - including flexi time and hybrid working arrangements (with the ability to work some days each week from home
• Free parking is available nearby, with subsidised parking also available.
• Access to a Fitness Passport membership Internal professional Learning and Development
• Liverpool City Council is committed to providing a working environment that supports all employees to reach their full potential.
• To be eligible to apply for permanent positions at Liverpool City Council, you need to be an Australian Citizen or Permanent Resident.
• We welcome candidates from all backgrounds and value diversity and inclusion in our workplace. We encourage all applicants, including First nation people, people with disability, LGBTIQ and culturally diverse communities to join Council.
• All successful candidates will be required to obtain a National Police Check as part of the recruitment process and may be required to undergo a pre-employment medical check.

CLOSING 4 November @8PM

Be part of creating the future, for further information about the position please contact Ken McElroy, Talent Acquisition Partner at ********@liverpool.nsw.gov.au