Eligibility Officer

Role Overview

The Eligibility Officer role involves evaluating psychological injury claims to ensure compliance with the NSW Workers Compensation legislation and relevant scheme standards. This position requires delivering timely, equitable, and evidence-supported decisions regarding claim eligibility and entitlements.

Key Responsibilities

• Evaluate psychological injury claims according to the NSW workers compensation framework.
• Render fair and prompt eligibility and entitlement determinations grounded in evidence.
• Provide empathetic and professional support to injured workers through trauma-informed, respectful communication.
• Collect and analyze medical, employment, and factual data to underpin decision-making.
• Collaborate with a variety of stakeholders including employers, insurers, healthcare providers, legal representatives, and other involved parties.
• Effectively communicate complicated legislative decisions to customers and stakeholders in a clear and confident manner.
• Continuously update knowledge and apply emerging psychological injury regulations during claims management.
• Escalate intricate or sensitive cases appropriately, upholding high standards of case documentation and file quality.

Candidate Profile

• Experience within Workers Compensation, personal injury claims, or customer service roles in a related field.
• Exceptional communication skills characterized by clarity, confidence, and empathy for diverse stakeholders.
• Strong analytical abilities, meticulous attention to detail, and judicious decision-making skills.
• Adaptability and resilience in dynamic environments.
• Ability to work collaboratively within teams while managing individual workloads independently.

Employee Benefits

• Flexible hybrid work model combining office and home-based work.
• Supportive environment promoting a healthy work-life balance.
• Recognition programs celebrating professional achievements.
• Employment with a reputable, diverse, and inclusive organization.

Additional Information

Suncorp prioritizes a workplace culture that embraces diversity, accessibility, and inclusion, encouraging career growth and internal mobility. Candidates requiring recruitment process accommodations or workplace adjustments are invited to confidentially contact the company representative for support.