Claims Management Consultant

About us

Established in 1840, we are Australia’s first wellbeing company, delivering health, wealth and care services for our members and the community.

As a social enterprise, we’re motivated by our purpose to positively impact the wellbeing of millions. We reinvest profits to deliver products and services sustainably that matter most to our members, customers and the Australian community.

For us, Real Wellbeing encompasses the whole experience of life. It’s about feeling supported in your health, connected with your community and empowered to live life on your terms.

Your New Role Looks Like This:

The Claims Management Consultant is responsible for leading and managing a portfolio of complex workers’ compensation claims in accordance with NSW Workers Compensation legislation and SIRA guidelines.

• Contribute to ensuring timely, accurate, and cost-effective claims management and drives early and sustainable return-to-work outcomes, along with increased engagement of employees and managers.  
• Provide support to injured employees and offer coaching and technical support to internal stakeholders and managers.
• Manage end-to-end claims for physical and psychological injuries, ensuring compliance with NSW Workers Compensation and Injury Management legislation.
• Accurately calculate PIAWE and process weekly benefit payments within specified timeframes.
• Demonstrate technical expertise in interpreting Legal WPI assessments, managing Common Law WID processes, and understanding XOL reviews, ensuring compliance with legislative requirements and best practice standards.
• Build and maintain strong relationships with injured workers, people leaders, medical professionals, legal representatives, and internal teams.
• Ensure adherence to SIRA guidelines, internal policies, and self-insurance requirements.
• Provide expert coaching on workers’ compensation and effective claims management while mentoring internal stakeholders and managers to build capability, enhance knowledge, and drive continuous performance improvement across the business.
• Contribute to continuous improvement initiatives and best practice claims management.

About You:

• Minimum 5 years’ experience in end-to-end workers’ compensation claims management (self-insurance experience desirable), including exposure to complex, legal, and psychological injury claims.
• Strong knowledge of NSW Workers Compensation legislation, frameworks, timeframes, and SIRA requirements.
• Exceptional communication, negotiation, and stakeholder management skills, with a proven ability to influence and deliver results through collaboration.
• Strong technical expertise in interpreting Legal WPI assessments, managing Common Law WID processes, and an understanding of XOL reviews, ensuring compliance with legislative requirements and best practice standards.
• Expert knowledge of PIAWE legislation, regulations, and standards of practice, with proficiency in processing Workers Compensation Weekly Benefits.
• Proven ability to interpret medical reports and legal documentation accurately.
• Ability to provide specialist advice and guidance to employees, managers, supervisors, and People and Culture business units in relation to claims management.
• High attention to detail and strong analytical skills.
• Ability to manage conflicting priorities and stakeholder expectations effectively.
• Proficient computer skills, including Microsoft Office; experience with SolvInjury and Donesafe is desirable.
• Current SIRA Accredited Return to Work (RTW) Coordinator Certification.

What’s on Offer:

You will enjoy a range of great employee benefits and rewards including:

• Competitive salary + bonus program
• Enjoy additional yearly Well-Being and Community leave days
• 14-week paid parental leave, with equal benefit for both parents
• Employee Referral Program
• Employee Assistance Program – support and assistance for you and your partner at those times in life when you need it most
• Maxxia Rewards - a great range of discounts and benefits at selected retail outlets, department stores, attractions, travel, cinemas, restaurants.
• Discounts across the Australian Unity business including Private Health Insurance, General Insurance + more!
• Available access to LinkedIn Learning courses through our great Learning platform

For further benefits visit: https://www.australianunity.com.au/careers/culture

Australian Unity is an Equal Opportunity employer and we encourage applications from all members of the community, including people of Aboriginal and Torres strait Islander descent, culturally and linguistically diverse backgrounds and, mature aged people.