Title: Workcover Claims Specialist
About the role
Do you want to work at Australia’s largest community pharmacy group and one of Australia’s largest retailers? Come and join us at Chemist Warehouse where not only have we been providing quality and affordable products for over 20 years but our drive and motivation to grow is unlike no other. With year-on-year growth we now have over 600 stores across the globe in Australia, New Zealand, Ireland, Dubai and many more to come!
We want people who are eager to help drive our family business to greater success, larger growth and be the number one pharmacy retailer in the world!
Primary Focus
The primary focus and responsibilities of this position are:
- Provide high quality and accurate administration and specialist advice in relation to the WorkCover functions of Injury and Claims Management, WorkCover Premiums, WorkCover Policies and WorkCover Payroll Processing
- Provide support and assistance as needed to the wider WorkCover and WHS Team
The position reports to the:
- WorkCover Team Leader – For allocation of work and performance of their day-to-day duties
- WHS Manager – Regarding overall performance, conduct and delivery of outcomes
The incumbent will need to ensure all responsibilities are completed successfully and delivered within the timelines specified.
The person must be comfortable with:
- A fast-paced environment
- Building lasting relationships that can be relied on to help bolster our reputation
- Working and liaising with people from a diverse range of multicultural backgrounds
- Working and liaising with various levels of stakeholders within the business
Functional Responsibilities
Injury & claims management coordination and administration
- End to end claims management; not limited to:
- Return to Work Planning
- All administrative functions incl. document upload, remittance & invoicing
- Assist injured workers, where safe and practicable, to remain at work while they recover or return to work as soon as possible
- Monitor the progress of claims and the employee’s recovery
- Keep up to date and detailed notes throughout the duration of the of the claim until closure
- Post claim closure check in to ensure the Worker has sustained pre-injury employment
- Assist the Injured worker and Employer to meet their Return to Work obligations
- Regularly consult and liaise with the Injured Worker, the Employer, Treating Practitioners and the Insurer
- Regularly prepare and report on claims performance to the WHS Manager
- Assess claims and incident data to identify safety issues / causative factors and where appropriate pass recommendations to the WHS Advisor for review
- Conduct regular claims reviews and audits of the full claim portfolio incl. claims within the first 12 weeks ensuring issues are escalated appropriately
- As required liaise with external rehabilitation providers regarding progress of RTW
- Provide information regarding the WorkCover process to relevant parties
- Coordinate the development of Injury & Claims toolkits, Injury packs and other materials
- As and when required, assist the WHS and WorkCover team with the collection of information, footage, photos and general information relating to incidents and hazards
- Filing various WorkCover and insurer documentation and emails
- Continually monitor and maintain the suitable duties register and regularly review the job task descriptors
- Support premiums, policies, payroll as needed
Qualifications and Experience
- Workcover experience within VIC and NSW highly desirable.
- 3-5 years experience in WorkCover claims
- Either Tertiary qualified in WHS and Injury management; OR well experienced in the WorkCover functions of Injury and Claims Management, WorkCover Premiums, WorkCover Policies and WorkCover Payroll Processing
- WorkCover payroll processing
- Strong administration and systems experience
- RTW Coordinator course
- Sound knowledge of Accident Compensation Legislation
- Experience interacting with various levels of business stakeholders
- Strong knowledge with the Microsoft Office/Teams suite and general PC use
- Confident user of technology and online systems
What's in it for you
- Flexible working arrangements – hybrid model
- Friendly and supportive team environment
- Discounts across all of our brands!
- Ongoing training and professional development
- Free flu vaccinations
- Access to EAP and support services