Eligibility Officer

{"description": " Introduction

At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of partnership-and that's exactly what you'll find here. We're a team of fast-paced fixers, empathetic experts, and outcomes drivers - people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you're here, you're part of something bigger. You're part of a team that shows up, stands together, and leads with purpose.

Overview

About the Role

As an Eligibility Officer, you will be the first point of contact in the lodgment of newly received Workers' Compensation claims. You'll be responsible for using claims legislation and case law to coordinate and obtain information from key stakeholders to determine the acceptance or rejection of claims, and communicate decisions and updates with Injured Workers and Employers. The key focus of the Eligibility process is to determine, for recently lodged claims, if the claims is compensible within Workers Compensation frameworks, and investigating if the injury sustained is as a result of work.

In this fast-paced role, you'll utilize your analytical skills and technical knowledge to make fair and accurate decisions on claims within 28 days. You'll also be responsible for conducting investigations as necessary to ensure every decision made for new claims is of the highest quality and consideration for our customers.

How you'll make an impact

Responsibilities

• Making sustainable, appropriate and quality initial liability determinations for your portfolio of Work Cover claims within 28 days
• Communicating claims updates and outcomes to injured workers and employers relating to the Eligibility process
• Driving an effective investigatory process in order to make quality decision when determining initial liability for claims
• Providing a quality customer service experience for our internal and external customers
• Accurately calculating all pre-injury average weekly earnings for injured workers
• Communicating the initial decision rational to the Dispute Resolution Team to support the conciliation process
• Working together with your Team Manager, Case Managers, Technical Managers and WorkSafe staff to determine liability and review of entitlement

About you

Qualifications

Our Eligibility team is looking for a candidate who either already has, or wants to develop their technical skills in the Eligibility process and also has:

• Experience in a Worker's Compensation Eligibility role, Case Management role, general insurance or a similar position from a different industry (please note prior eligibility experience is not essential to your success)
• Exceptional time management and organizational skills, and the ability to prioritise your tasks
• Receptivity to continued learning and training
• Investigative and evidence-based decision-making skills
• Strong verbal and written communication

What we can offer you:

• Attractive remuneration packaging & flexible work arrangements including Work from Home
• Monthly RDO (Rostered Day Off) after completion of your probationary period
• Birthday Club - have a day off during your birthday month as a gift from GB
• Paid Parental Leave & Reproductive Leave
• Excellent working environment - our team at GB is renowned for it's dedicated and approachable people as well as its friendly, flexible and inclusive working environment which is built around great team support and rewarding opportunities;
• Exciting career - as our Company grows, so do the opportunities for our people;
• Opportunities for ongoing education and development through both external and internal programs delivered by our own claims training experts
• Service recognition awards; and employee assistance program for yourself and immediate family members.
• A dedication to your wellbeing through our peer support program, corporate health insurance discounts and wellness programs
• Additional purchased leave, novated leases, and access to the Gallagher Rewards Program (including discounts/cash-back for hundreds of retailers!)

To apply

If this sounds like the opportunity you have been looking for, we want to connect!

Click on Apply for this job.

To be considered for this opportunity you must have right to live and work in Australia when applying.

Agency applicants will not be considered for this position.

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.", "salary_raw": "Row(double=None, string=None)"}