Claims Specialist

A new role = A new way to win together

You belong at Coles Group where we look ahead, have a plan, and are up for the challenge. We learn and grow by taking career-defining opportunities and this one may just be your next.

About the team

Coles Group Insurance protects our team members, customers, and business. We work across a variety of areas, from workers compensation to property insurance to public liability insurance. Our team offers strategic advice that guides decision making and helps Coles Group achieve its business outcomes.

About the Team

At Coles, our Legal and Safety team plays a critical role in supporting the wellbeing of our team members and ensuring compliance with workplace safety standards. Coles Team Cover are a collaborative, high-performing group that values empathy, accountability, and continuous improvement. We work closely with internal stakeholders and external providers to manage workers compensation claims effectively, reduce the impact of workplace injuries, and promote safe work practices across the business.

About the Role

As a Workers Compensation Claims Specialist, you will be responsible for managing a portfolio of workers compensation claims in accordance with state legislation and Coles policies. Your focus will be on achieving optimal outcomes for injured team members and the business by facilitating timely resolution of claims, ensuring entitlements are met, and promoting return-to-work strategies.

• Manage claims to reduce the impact of workplace injuries while ensuring compliance with legal and business requirements.

• Engage with injured team members and business stakeholders to foster understanding and collaboration.

• Coordinate external service providers and gather internal information to support effective claims management.

• Partner with the Safety team to monitor and improve key safety metrics, including return-to-work rates and mental health outcomes.

• Educate business partners on effective claims behaviours and strategies to support recovery and return-to-work outcomes.

About Your Skills

Formal Education

• A qualification or certification in a health or business-related field (highly desirable).

Technical Competencies

• Basic understanding of workers compensation claim management.

• Ability to interpret legislation, policies, and standards.

Commercial Skills

• Strong customer service and negotiation skills.

• Proven ability to business partner and integrate with the business.

• Excellent written and verbal communication.

• Sound analytical, problem-solving, and commercial judgement.

Technology Competency

• Proficiency in Microsoft Office suite.

• Familiarity with Electronic Information Management and Claims Management Information systems.

Key Responsibilities

• Understand and apply legal, self-insurance, and business requirements for claims management.

• Follow processes to manage claims within legislative timelines and approval limits.

• Provide accurate, timely advice to team members regarding their rights and responsibilities.

• Conduct case reviews with stakeholders to develop and execute claim strategies.

• Ensure a professional and seamless experience for all stakeholders.

• Manage complex claims scenarios to reduce liabilities and workplace injury impact.

• Identify and escalate high-risk claims to the Line Manager.

• Continuously develop knowledge of workers compensation frameworks and stakeholder expectations.

• Collaborate within the Legal and Safety team to foster a positive and high-performing culture.

• Take personal accountability for safe work practices and injury prevention.

What's in it for you?

• Flexible working options: We know that work is only one part of your life, so we actively encourage a positive work-life balance and provide hybrid working options to help you achieve it.
• Office perks: Take advantage of our gym facility and fitness classes, free parking, BBQ area, mini-Coles supermarket, fooderie hub where you can sample new products before they hit the shelves, school holiday program and so much more when you come in.
• Discounts: Eligible team members receive 5% discount all year round on your Supermarket and Liquor online and in-store purchases. We also offer additional periods of double discount (10%) at various times throughout the year. As well as hotdeals exclusive to team members that translate into additional savings.
• Reward through recognition: Give and receive recognition, linked to our Coles values, through our digital recognition platform 'mythanks'. You can accumulate points to redeem in the online shop for exciting gifts and electronic gift cards from an extensive range of retailers.
• Opportunities for learning and development: No matter where you start within our diverse business, you'll have experiences, exposure, and education to satisfy you. Discover and explore a variety of career development programs and job-specific training.
• Paid parental leave: We understand how important your life outside work is and offer permanent team members paid parental leave to support you in balancing work and family.
• Investment in your future: Our annual team member share plan offer allows eligible team members to make regular pre-tax salary sacrifice deductions to purchase Coles Group shares.

About the recruitment process

We're continuing to build a gender equitable team, and a culture that is just as diverse, inclusive and welcoming as the communities we serve. We are committed to creating a workplace that is safe and respectful for our team. We encourage applications from people of all ages, cultures (including Aboriginal and Torres Strait Islander peoples), abilities, sexual orientation and gender identities.

We're happy to adjust our recruitment process to support candidates with disability. For further information and additional contact details visit the 'Our Recruitment Process' section of our careers site or email

Job ID: 171395

Employment Type: Full time

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