Dispute Resolution Specialist - Workers Compensation
Core
Independently review disputed workers compensation decisions to ensure fairness, evidence-based outcomes, and regulatory compliance.
Role type
Dispute Resolution Specialist (Workers Compensation)
Builds
Legally sound review determinations for work capacity, earnings, and liability disputes
Domain
Insurance / Workers Compensation / Legal Compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Workers compensation claims management, dispute resolution, legal review, injury management, NSW legislative framework knowledge, legislation interpretation, medical information analysis, claim documentation analysis, written communication, stakeholder management, negotiation, autonomous work
Preferred skills
Dispute Resolution background, Claims Specialist experience (Technical Specialist, Technical Advisor, Injury Management Advisor)
Technologies
SIRA guidelines, Shine platform
Responsibilities
Review disputed decisions on work capacity, PIAWE determinations, and liability; Analyze claims files and evidence to affirm, amend, or overturn decisions; Prepare professional review determinations; Engage with internal and external stakeholders; Identify systemic issues and risks; Contribute to dispute resolution strategies; Maintain compliance with NSW legislation and SIRA guidelines
Seniority
Mid-Senior, hands-on IC