Eligibility Case Manager

Location: Any city in Queensland, Australia

Company

hirify.global provides insurance software and business process services that help insurers modernize and operate core policy, claims, billing, analytics, and digital engagement systems.

What you will do

• Assess new workers’ compensation claims and determine eligibility under Queensland legislation, regulations, and self-insurer guidelines.
• Investigate unclear liability by gathering evidence, reviewing medical reports, consulting stakeholders, and commissioning independent assessments when required.
• Review and approve initial PIAWE and weekly compensation calculations, working with payroll to verify earnings data.
• Communicate claim decisions, rights, obligations, and claim status clearly and empathetically to injured team members, employers, and stakeholders.
• Maintain accurate claims records and identify and mitigate risks in collaboration with internal and external stakeholders.
• Coordinate the transition of accepted claims to dedicated Case Managers and contribute to team knowledge-sharing.

Requirements

• 3–5 years of experience in workers’ compensation case management, preferably in a self-insured environment.
• Experience assessing claim eligibility, determining liability, investigating claims, and analysing evidence under applicable legislation and policies.
• Experience reviewing and approving PIAWE and weekly compensation calculations.
• Experience collaborating with Case Managers, payroll, legal advisors, and other multidisciplinary stakeholders.
• Strong analytical, problem-solving, communication, interpersonal, organisational, and time-management skills.
• Proficiency in Microsoft Office Suite; a health- or business-related qualification or certification is highly desirable.

Culture & Benefits

• Inclusive culture focused on belonging, corporate citizenship, and equal opportunity.
• In-person collaboration supported by flexibility for wellbeing, productivity, and individual work styles.
• Onboarding and continual development resources, including DXC University.
• Flexible leave options, including purchased leave, plus volunteer days.
• Employee Assistance Program, discounted health insurance, paid parental leave, novated leasing, and other discounts.