Health Insurance Claims Assessor jobs

Job no: 494502
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.

We’re seeking compassionate and customer-focused individuals to join our team as Claims Assessors. You’ll play a vital role in determining claims of all injury types, including physical and mental.

A Bit About Us

Our vision is to be the best workers’ compensation insurer, making a positive difference to people’s lives and keeping Queenslanders working. We turn care into action, act with integrity, and work together to unlock what’s possible. If you value empathy, collaboration, and continuous improvement, you’ll find a great community at WorkCover.

Working in a collaborative team environment within a supportive and engaged organisation, you’ll enjoy a hybrid work model, access to personalised learning and development opportunities and the holistic support of our health and wellbeing program. We offer industry competitive salaries, a generous superannuation scheme (including co-contribution) and study assistance.

What You’ll Do:

• Solve problems in complex, ambiguous situations while staying compliant with legislation
• Manage multiple tasks and hit performance targets without compromising quality
• Deliver clear, transparent claim outcomes - including adverse decisions - by confidently explaining the rationale and ensuring customers understand the process
• Manage and determine claims of all injury types, including; physical and mental - these will vary on levels of severity and the type of injury a customer has
• Engage with stakeholders, build relationships with all parties involved; including employers, the customers and allied health professionals and take accountability
• Balance empathy with objectivity whilst delivering an unfavourable outcome to the customer
• Carry out administrative tasks to ensure all information is recorded correctly and accurately whilst working through the claim

What We’re Looking For:

• We’re looking for motivated, customer-focused people with an ability to think critically in challenging environments
• You’re someone who builds relationships quickly, influences outcomes and is eager to start a rewarding career with an organisation that values its people and customers
• Applicants with an ability to remain calm, empathetic and professional whilst dealing with heightened conversations
• Resilience is key to succeeding in this role, as not all outcomes are favourable for the customer – leading to heightened conversations
• You will need strong decision-making skills to make liability decisions on personal injury claims and confidence in backing the outcome

What We Offer:

• Competitive salary and access to banked time
• Regular training and secondment opportunities
• Study assistance and leadership development programs
• Great central CBD location
• Hybrid 5 in 10 model and flexible working options following successful probation
• An organisation that prioritises workplace culture, job satisfaction and work-life balance
• Dedicated wellness program offering discounted private health insurance and an Employee Assistance Program

How do I apply?

If this sounds like you, we’d love to hear from you. 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.

Please Note: As part of our recruitment process, shortlisted candidates will be required to attend an in-person Information and Interview Session in Brisbane CBD for approximately 3 hours on a schedule date.

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 recruitment@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, Bankruptcy, 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).