Senior Workers' Comp Claims Lead — Complex Cases

JBS Australia Pty Limited; Ipswich City; On-site; AUD 110,000 - 150,000; Full time

Job summary

JBS Australia is seeking a Senior Claims Advisor to own a portfolio of Queensland workers compensation claims from lodgement to finalisation, while providing technical guidance to the broader claims team.

This role focuses on liability decisions, rehabilitation strategies and stakeholder collaboration to achieve safe and sustainable return to work outcomes. You will drive improvements in claim quality and processes within our self-insured environment.

Qualifications

• Significant experience managing Queensland workers compensation claims, including complex matters.
• Strong working knowledge of Queensland workers compensation legislation and self-insurance requirements.
• Demonstrated experience determining liability and managing claims through to finalisation.
• Strong rehabilitation and return to work capability.
• The confidence to coach and provide technical guidance to other claims professionals.
• Excellent stakeholder management, negotiation and influencing skills.
• Sound judgement and the ability to communicate difficult decisions clearly.
• Knowledge of relevant medical and legal terminology.
• Ability to manage competing priorities while remaining calm and professional.

Responsibilities

• Manage a portfolio of Queensland workers compensation claims from lodgement through to finalisation.
• Make liability decisions and develop strategies for complex and sensitive claims.
• Partner with injured workers, leaders, treating practitioners and rehabilitation providers to achieve safe and sustainable return to work outcomes.
• Develop and review tailored rehabilitation and return to work strategies.
• Review and authorise claim payments and entitlements.
• Provide technical guidance, coaching and mentoring to Claims Advisors.
• Assist with complex claim reviews and team workflow priorities.
• Build trusted relationships across Operations, People & Culture, medical providers, rehabilitation providers and legal representatives.
• Identify opportunities to improve claim quality, processes and the overall customer experience.
• Support compliance with Queensland workers compensation legislation and self-insurance requirements.

Skills

Senior claims experience

Queensland workers compensation

Stakeholder management

Coaching & mentoring

Liability assessment

Job description

JBS Australia is seeking a Senior Claims Advisor to own a portfolio of Queensland workers compensation claims from lodgement to finalisation, while providing technical guidance to the broader claims team.

This role focuses on liability decisions, rehabilitation strategies and stakeholder collaboration to achieve safe and sustainable return to work outcomes. You will drive improvements in claim quality and processes within our self-insured environment.