Eligibility Officer - Workers Compensation

Job Overview

The Eligibility Officer plays a critical role in evaluating and determining whether claims should be approved or declined, as well as transferring claims to the appropriate Case Managers for continued handling. Responsibilities include calculating Pre-Injury Average Weekly Earnings (PIAWE), advising Dispute Resolutions Managers by providing rationale for initial decisions, and uncovering opportunities for claim recovery. Success in this position relies on a strong technical understanding of relevant legislation, coupled with resilience to meet business and Worksafe objectives through analytical and communication skills.

Key Responsibilities and Skills

• Make informed decisions on acceptance or rejection of claims and oversee proper handover to Case Managers.
• Calculate PIAWE accurately and communicate findings to Dispute Resolutions Managers.
• Identify potential avenues for claim recovery through detailed analysis.
• Demonstrate problem-solving abilities and sound judgment in decision-making.
• Maintain high standards of work management including attention to detail, organization, and planning.
• Exhibit excellent written and verbal communication skills.
• Persevere and show resilience when facing challenges.
• Deliver exceptional customer service while influencing and negotiating effectively.
• Engage in continuous improvement and take initiative in processes.

Experience and Qualifications

• At least 2 years of experience in initial claims assessment (Case Manager) or a minimum of 1 year in a paralegal or legal assistant role.
• Solid working knowledge of the Workplace Injury Rehabilitation & Compensation Act 2013 and relevant regulations, or possession of a legal qualification.
• Familiarity with the WorkCover scheme.
• Adaptability and willingness to embrace change.
• A genuine concern for others and ability to adhere to regulations.
• Proficiency in Microsoft Office applications (Word, Excel, Outlook).
• Intermediate to advanced experience with ACCtion, Novus, or comparable case management software.

About DXC Technology

DXC's Insurance Software and Business Process Services (ISB) delivers advanced solutions enabling insurers worldwide to modernize operations by blending deep industry expertise with innovative AI-driven platforms. As a global leader in insurance core platforms, ISB supports policy administration, claims processing, billing, analytics, and digital engagement across Life & Annuity, Property & Casualty, and Specialty markets. This role offers a chance to help reshape critical insurance systems used daily by millions.

Culture and Benefits

DXC commits to cultivating better futures for customers, colleagues, the environment, and communities. The company fosters inclusion, belonging, and corporate responsibility through various societal initiatives. A “people first” approach means competitive pay, comprehensive benefits, training, and opportunities for career advancement, reflecting a dedication to employee well-being and community impact.

Equal Opportunity Employer and Recruitment Integrity

DXC embraces diversity, encourages applicants from all backgrounds, and supports an inclusive culture where individuals can fully express themselves. Reasonable accommodations for candidates with disabilities are provided in accordance with company policy. The company prioritizes in-person collaboration while offering flexible work arrangements to support productivity and personal needs.

Applicants should be cautious of recruitment scams; DXC does not solicit fees or equipment purchases, nor extends employment offers through social media or unsolicited emails.