Self-Insurance Workers' Compensation Claims Benefit Specialist

About the Role The Self-Insurance Workers' Compensation Claims Benefit Specialist is responsible for the accurate calculation of Pre-Injury Average Weekly Earnings (PIAWE) to support weekly compensation payments for injured team members. This involves detailed analysis of pre-injury earnings and ensuring all assessments comply with relevant state legislation, regulations and guidelines, and conducting peer reviews and quality assurance as part of complex benefits activities. What You'll Do

• Liaise with payroll to obtain and verify earnings data to ensure accuracy in calculations.
• Conduct detailed analysis of pre-injury earnings using payroll records.
• Accurately calculate PIAWE in line with relevant state workers' compensation legislative and regulatory requirements.
• Ensure timely delivery of compensation calculations to support smooth claims processing.
• Maintain accurate documentation of all calculations, methodologies and supporting evidence for audit purposes.
• Identify and escalate complex cases that may impact claim decisions.
• Respond promptly and professionally to queries from stakeholders, ensuring high-quality customer service.
• Deliver a high standard of service that promotes trust and transparency.
• Support the Eligibility Case Manager in managing stakeholder expectation by providing clear timeframes and updates.
• Take ownership of indexation, superannuation reviews, step-downs and reductions in weekly benefits and ongoing quality assurance and legislative compliance. What We're Looking For
• Experience with calculating PIAWE and weekly compensation in workers' compensation.
• Knowledge of relevant state legislation, regulations and guidelines.
• Ability to liaise with payroll and maintain documentation for audit purposes.
• Strong attention to detail, analytical skills, QA processes, and compliance.
• Ability to collaborate with Eligibility Case Managers and manage stakeholder expectations.
• Commitment to customer service and professional communication.
• Proven ability to identify and escalate complex cases for timely resolution.