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About the Role
Provide expert technical support and decision-making on work capacity matters, ensuring work capacity assessments, decisions and reviews are accurate, compliant and timely within the NSW Workers Compensation Scheme. The role balances fair outcomes for injured workers with scheme requirements, supporting sustainable return to work and the correct entitlement to weekly payments, and provides a unique opportunity to lend your legislative expertise to the support, coaching and development of our Claims function.
Responsibilities
- Review medical, vocational and employment evidence to assess a worker’s current work capacity
- Determine the impact of work capacity outcomes on weekly payment entitlements
- Identify and obtain the medical, vocational, treatment and employer information needed to support decisions
- Arrange or review independent assessments, such as independent medical examinations and vocational assessments, where required
- Identify gaps or inconsistencies in evidence and resolve them promptly
- Provide timely, accurate advice to case managers on work capacity processes and requirements
- Support early identification of claims requiring work capacity review
- Support return to work strategies, including suitable duties and partial return to work
- Prepare accurate, clear and compliant decision notices and correspondence
- Support internal reviews and disputes relating to work capacity decisions, including preparation of documentation and responses
- Communicate decisions to injured workers, employers and other parties with empathy and professionalism
- Coach case managers on work capacity principles, evidence requirements and best practice
- Identify process inefficiencies and recommend practical improvements
- Keep current with legislative and scheme changes and share learnings with the team
Requirements
- Strong experience in NSW Workers Compensation claims management, as well as making work capacity or other complex entitlement decisions
- Experience applying legislation and scheme guidelines and drafting decision notices, and interpreting medical and vocational evidence
- Deep understanding of the NSW Workers Compensation legislative framework and legislative reforms, including work capacity assessment and decision requirements, weekly payment entitlements and how work capacity affects them, return to work principles and suitable employment, and dispute processes
- Awareness of outcome measures and how work capacity decisions affect them
- Strong analytical and critical thinking skills, with sound judgement
- Excellent written and verbal communication, with the ability to explain decisions clearly
- High attention to detail, particularly in evidence and compliance
- Ability to handle sensitive conversations with empathy and professionalism
- Collaborative approach with strong stakeholder engagement
- Coaching mindset with ability to drive capability uplift
- Must have right to live and work in Australia
Skills
- Work Capacity Assessment
- Decision Making
- Claims Management
- Legislation Application
- Evidence Interpretation
- Analytical Skills
- Critical Thinking
- Communication Skills
- Attention to Detail
- Stakeholder Engagement
- Coaching
Location
- Sydney
Work Type
- Hybrid
- 9 day fortnight option post-probation
Experience Level
- Senior Case Manager
- Technical Specialist
Benefits
- Professional growth and career development
- Wellbeing support programs
- Supportive learning and career pathways
- Ongoing access to training and career development
- Succession planning
- Mentoring programs
- Competitive compensation
- Comprehensive benefits programs designed to support your well-being
- Career development opportunities and ongoing learning
About the Company
- Gallagher Bassett (GB) is Australia and New Zealand’s premier third party claims administrator.
- We manage claims on behalf of insurers, brokers, government bodies and self-insured organisations.
- We are part of the leading global risk management and insurance group Arthur J Gallagher & Co.
- Life at GB is an adventure - often fast paced, unpredictable, challenging and deeply rewarding.
- It is social and engaging, with our unique and positive culture underpinned by The Gallagher Way – values lived daily by our people.
Equal Opportunity
- Gallagher Bassett is an Equal Opportunity Employer and Indigenous Australian applicants are encouraged to apply.
- As a member of the Diversity Council Australia, we recognise the importance of, and embrace diversity in the workplace.
- We will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
- Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)