Eligibility Officer

Join the DXC team and contribute to bringing DXC’s claims management expertise to the people of New South Wales.

With over 20 years’ experience in workers compensation claims management, a unique opportunity exists to join a new DXC team. DXC are currently partnering with a reputable Government Health Organsiation, setting up their Wokers' Compensation Department and would love you to join the team as an Eligibility Officer.

The Eligibility Officer will be required to determine liability of claims, and transition claims to appropriate Case Managers for ongoing management. The role will also calculate PIAWE, advise Dispute Resolutions Managers on the rationale for original decisions and identify the recovery potential of claims.

Key elements to this role include

Review and evaluate workers' compensation claims to ensure they meet eligibility requirements under state and federal laws.

Collect, verify, and maintain all necessary documentation related to claims, including medical reports, employment records, and incident details.

Analyze claims to ensure compliance with relevant regulations, identify any discrepancies, and recommend appropriate course of action.

Communicate with injured employees, medical providers, and insurance carriers to gather additional information and ensure timely processing of claims.

Provide guidance and assistance to claimants regarding their rights, benefits, and the claims process. Respond to inquiries in a clear, professional, and timely manner.

Ensure all claims are processed in accordance with workers' compensation laws, company policies, and insurance guidelines. Keep up to date with changes in regulations that may affect claims eligibility.

Prepare and maintain accurate records and reports related to claim eligibility status, denials, and approvals.

Work with legal, medical, and insurance teams to resolve complex cases and disputes. Participate in meetings and provide recommendations on case management.

Provide training and support to other team members as needed regarding workers' compensation eligibility procedures and best practices.

To be successful

Strong working knowledge of the NSW Workers Compensation Act 1+87 and associated Regulations and/or a Legal Qualification

Two years or more experience in initial claims assessment (Case Manager), or one year or more in a paralegal or legal assistant position

Being flexible and can adapt to change

Ability to interpret and implement decision according to the rules and regulations

Strong stakeholder management skills including negotiation and influencing skills with both internal and external customers.

Strong time management skills

Computer skills - Microsoft Office (Word, Excel, Outlook)

Flexible working arrangements

Our virtual first approach means we offer a high degree of work flexibility. Our teams are spread across multiple geographies delivering a broad range of services. We tailor working arrangements that work for our people. These include working from home, within metropolitan or regional offices, and on customer sites.

Employee benefits

DXC offers competitive remuneration, benefits, training, and career opportunities, reflecting our commitment to improving the lives of our employees and the communities in which we live and work.

Some of these benefits include

Extensive resources to support your onboarding and continued development, including DXC University

DXC recognition, our global virtual platform which fosters a culture of appreciation and celebration with real-time reward and recognition

More time to do the things you love with flexible leave options, including purchased leave

Time to give to the community with charitable and emergency services volunteer days

An Employee Assistance Program to support you and your family

Novated leasing discounted health insurance, paid parental leave and many other discounts.

We know that great people refer to great people. We will reward you when you bring your friends and family to work at DXC.

DXC is committed to building better futures for our customers, colleagues, environment, and communities. We take care of each other and foster a culture of inclusion, belonging and corporate citizenship. We put this into action through our social impact practice.

If you would like to be part of a culture that drives innovation, delivers results, rewards performance and encourages ideas, please press the "Apply Now" button to submit your resume.

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