Eligibility Case Manager

Aus - Vic - Melbournemid

Case ManagerHealthcare Clinical

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Overview

Job Description: Why join DXC Technology DXC's Insurance Software and BPS (ISB) helps insurers around the world modernize and run their core operations at scale by combining deep industry expertise,

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Case ManagerHealthcare Clinical

What We Offer

~3 min read

DXC's Insurance Software and BPS (ISB) helps insurers around the world modernize and run their core operations at scale by combining deep industry expertise, proven software platforms, and innovative AI-driven solutions. A global market leader in core insurance platforms, ISB delivers solutions across policy administration, claims, billing, analytics, and digital engagement supporting Life & Annuity, Property & Casualty, and Specialty insurance markets. You’ll directly shape how the world's leading insurers operate by helping to transform the policy, underwriting, and claims systems that millions of people rely on every day.

The Eligibility Case Manager is responsible for the initial assessment, determination, and processing of workers’ compensation claims within a self-insured environment in Queensland. This role involves making timely and accurate eligibility decisions, either accepting or rejecting claims based on State legislative and regulatory requirements. Upon acceptance, the role is responsible for approving the initial calculation of Pre-Injury Average Weekly Earnings (PIAWE) and corresponding Weekly Compensation entitlements before transitioning the claim to a dedicated Case Manager for ongoing claim management.

✓Strong analytical and problem-solving skills, with the ability to interpret complex information and provide clear, evidence-based decisions.

✓High attention to detail and accuracy in both documentation and decision-making process.

✓Excellent written and verbal communication skills, with the ability to deliver complex information clearly, empathetically, and professionally.

✓Strong interpersonal and influencing skills with the ability to engage and collaborate effectively across all levels.

✓Effective organisational and time management skills, with the ability to manage competing priorities and meet deadlines.

✓Proficient in Microsoft Office Suite.

✓Extensive resources to support your onboarding and continual development including DXC University.

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

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

✓Take time to give back with charitable and emergency services volunteer days.

✓Well-being matters to us and our Employee Assistance Program is there to support you and your family.

✓And of course, all the basics; novated leasing, discounted health insurance, paid parental leave and many other discounts.

Responsibilities

~1 min read

Assess new workers' compensation claims to determine eligibility in accordance with relevant State legislation, regulations and self-insurer guidelines.
Conduct investigations into claims where liability is unclear, including gathering factual evidence, reviewing medical reports, consulting with stakeholders, and where necessary, commissioning independent assessments.
Review and approve the initial calculation by the PIAWE specialist of Pre-Injury Average Weekly Earnings (PIAWE) and Weekly Compensation entitlements.
Coordinate the timely and smooth transition of accepted claims to ongoing Case Managers with all relevant information and context.
Liaise with payroll to verify earnings data and ensure accuracy in compensation payments.

Provide timely responses to inquiries regarding eligibility and claim status to injured team members through the early stages of the claim process, ensuring they understand their rights and obligations.
Communicate claim decisions to injured team members, employers, and other stakeholders in a professional, clear, and empathetic manner.
Deliver a high standard of service that promotes trust and transparency.

Ensure strict compliance with all applicable workers’ compensation legislation, self-insurance requirements, and organisational policies.
Maintain accurate claims data, documentation and up-to-date file notes by consistently recording all relevant information in Assure to support claims decisions and regulatory compliance.
Identify potential risks within claims and collaborate on mitigation strategies.

Contribute to a positive, supportive team environment that encourages open communication, shared learning, and collective accountability.
Share knowledge and expertise to support team development and consistency in claims decision making.
Collaborate effectively with internal and external stakeholders to ensure seamless service delivery.

To be successful in this role you should have:

Education:

A qualification or certification in a health or business-related field (highly desirable)

DXC is proud to be an equal opportunity employer and we welcome submissions from people from all walks of life. We celebrate our diversity and recognise it is the unique contributions of our people that give us our edge. We stand by the ‘bring your whole-self to work’ philosophy. It is our inclusive culture that powers our results, and our company grows only if our people grow.

Accommodation of special needs for qualified candidates may be considered within the framework of the DXC Accommodation Policy. In addition, DXC Technology is committed to working with and providing reasonable accommodation to support qualified individuals with physical and mental disabilities.

At DXC Technology, we believe strong connections and community are key to our success. Our work model prioritizes in-person collaboration while offering flexibility to support wellbeing, productivity, individual work styles, and life circumstances. We’re committed to fostering an inclusive environment where everyone can thrive.

Recruitment fraud is a scheme in which fictitious job opportunities are offered to job seekers typically through online services, such as false websites, or through unsolicited emails claiming to be from the company. These emails may request recipients to provide personal information or to make payments as part of their illegitimate recruiting process. DXC does not make offers of employment via social media networks and DXC never asks for any money or payments from applicants at any point in the recruitment process, nor ask a job seeker to purchase IT or other equipment on our behalf. More information on employment scams is available here.