Eligibility Case Manager Job at DXC Technology (Any City)

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, 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.

Job Responsibility

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

Requirements

A qualification or certification in a health or business-related field (highly desirable)
Minimum of 3-5 years of experience in workers' compensation case management, preferably in a self-insured environment
Previous experience in assessing claim eligibility and determining liability in line with applicable legislation and internal policies
Proven ability to review and approve Pre-Injury Average Weekly Earnings (PIAWE) and Weekly Compensation calculations
Background in investigating claims, including gathering and analysing evidence to make informed liability decisions
Experience working collaboratively in a multidisciplinary team, including with case managers, payroll, and legal advisors
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

What we offer

Extensive resources to support your onboarding and continual development including DXC University
Rewards for referring friends and family to work at DXC
Flexible leave options, including purchased leave
Charitable and emergency services volunteer days
Employee Assistance Program
Novated leasing
Discounted health insurance
Paid parental leave
Many other discounts

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Eligibility Case Manager

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