Eligibility Specialist- Workers' Compensation

Eligibility Specialist- Workers' Compensation

03-7-26    Sydney / Permanent

Up to $130K Package - Hybrid Working - Specialist Technical Team

Ready to move beyond traditional case management and specialise in technical eligibility?

We're partnering with a leading personal injury insurer that is expanding its specialist Eligibility team and is seeking experienced Workers' Compensation professionals with strong technical capability who are looking to build their careers in a specialist eligibility function.

Whether you're based in Sydney or regional NSW, this opportunity offers the flexibility to work from anywhere in the state while joining a specialist technical team.

This is a fantastic opportunity to move into a specialist role focused on assessing new claims, applying NSW Workers' Compensation legislation and making timely, evidence-based eligibility decisions.

With smaller portfolios, structured technical support and genuine career development, you'll join a collaborative team where quality decision-making is valued over claim volume.


What's on Offer

• Salary up to $130K package depending on experience
• Work from anywhere in NSW with hybrid working arrangements
• No requirement to be Sydney-based
• Manageable portfolio of approximately 25–30 claims
• Structured onboarding and ongoing technical development
• Support from experienced Team Managers and Technical Specialists
• Clear career progression within a growing specialist function
• Collaborative, supportive and quality-focused team environment
• Opportunity to develop your technical expertise in Workers' Compensation

The Role:

As an Eligibility Specialist, you'll manage claims through the eligibility assessment process, ensuring decisions are made accurately, fairly and within legislative timeframes.

Your responsibilities will include:

• Assess newly lodged Workers' Compensation claims
• Review Certificates of Capacity, medical evidence and supporting documentation
• Apply NSW Workers' Compensation legislation when assessing claim eligibility
• Gather information from workers, employers and treating practitioners where required
• Make timely, evidence-based eligibility determinations
• Prepare clear, accurate written decisions and supporting documentation
• Manage claims that proceed through the dispute pathway following an eligibility decision
• Work collaboratively with internal stakeholders and external scheme partners to deliver quality outcomes

About You:

We're interested in speaking with professionals from backgrounds including:

• Eligibility Specialist
• Technical Specialist
• Senior Workers' Compensation Case Manager
• Self-Insurance Case Manager

You'll also bring:

• Strong NSW Workers' Compensation experience
• Excellent understanding of NSW Workers' Compensation legislation
• Strong analytical and decision-making skills
• Excellent written and verbal communication
• High attention to detail
• Confidence managing complex stakeholder conversations
• A resilient and collaborative approach

Ready for your next move?

If you're looking to specialise in one of the most technical areas of Workers' Compensation and join a supportive team that genuinely invests in its people, we'd love to hear from you.

For a confidential discussion, contact Niamh Thornton on 0426 867 115 or email n.thornton@ensurerecruitment.com.au.
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