Claims Process And System Lead

Add expected salary to your profile for insightsAt WorkCover Queensland, our vision is to be the best workers' compensation insurer to make a positive difference in people's lives and keep Queenslanders working.
We are committed to delivering outstanding outcomes through a high-performance culture, where strong leadership, innovation, and collaboration are at the heart of everything we do.Our organisation is driven by purpose and integrity, working together as One Team.
We value diversity of thought and experience, and welcome those who bring authenticity, strategic thinking, and strong leadership to their work.
If you're a senior leader who thrives on building capability, enabling performance, and driving transformation, you'll find purpose and impact here at WorkCover.About the Opportunity: Claims Process and Systems LeadAs Claims Process and System Lead, you'll be at the centre of shaping how we deliver claims management at scale—connecting people, process, and technology to ensure we're equipped to meet both current and future needs.
You'll lead the design and optimisation of claims processes, ensuring they are consistent, effective, and fully enabled by the core claims management system.You'll provide subject matter expertise to Claims leaders on best-practice claims management processes and the core system that underpins them—driving consistency, operational excellence, and optimal business performance across the Claims function.
You'll proactively identify bottlenecks, inefficiencies, or gaps in how processes are applied and work across the organisation to implement improvements that are aligned with both legislative and strategic requirements.This is a leadership role with broad visibility and cross-functional impact—working closely with leaders and teams across Digital and Technology, Transformation Delivery, Risk and Assurance and Claims Operations.
You'll act as a key conduit between operational needs and system capabilities, ensuring enhancements are practical, scalable, and embedded into the business to drive long-term improvement.You'll bring clarity to complexity, simplify what matters, and help shape the future of our claims systems and processes—ensuring the tools we use are not only compliant and efficient, but truly enable better experiences and outcomes for injured workers and Queensland employers.In this role, you'll:Lead end-to-end delivery of complex claims process and system transformation projects, ensuring milestones, budgets, and quality standards are consistently met or exceeded.Identify, prioritise, and resolve critical operational bottlenecks and system limitations, driving measurable improvements in claims cycle times, accuracy, and customer outcomes.Develop and enforce robust governance frameworks and controls to manage compliance, operational risk, and data integrity across all claims management activities.Drive cross-functional initiatives that integrate claims operations with technology solutions, ensuring scalable, sustainable improvements that align with organisational strategy and regulatory requirements.Establish and rigorously track strategic KPIs and performance metrics, translating data insights into actionable strategies that drive continuous operational excellence and transformational outcomes at scale.Provide visionary leadership and accountability for a high-performing, cross-functional team, cultivating a culture of innovation, resilience, and results-orientation to consistently deliver on complex transformation and critical business-as-usual objectives.You'll bring:Demonstrated ability to lead and directly deliver cross-functional, multidisciplinary initiatives—resolving complex challenges at the intersection of claims management processes, business performance, and core system optimisation.Deep expertise in end-to-end insurance claims operations, including legislative and compliance frameworks, with a strong focus on embedding best-practice processes and system-enabled excellence.Strong commercial judgment and operational decision-making, ensuring claims management systems and workflows are efficient, compliant, and drive sustainable performance outcomes.Proven ability to interrogate complex data and system insights to identify claims process inefficiencies, performance gaps, and improvement opportunities—translating findings into strategic and tangible outcomes.Outstanding communication and stakeholder influence, with a track record of aligning claims, technology, and business teams to deliver consistent, high-quality service outcomes at scale.A tertiary qualification in business, insurance, technology, or a related discipline, with advanced capability in digital tools and reporting platforms to support claims transformation and performance leadership.A bit about usThe Claims Management team at WorkCover is at the heart of our service delivery, helping injured workers recover and return to work while supporting Queensland businesses.
We are passionate about improving outcomes and delivering services that make a real difference.Working in a collaborative team environment within a supportive and engaged organisation, you'll enjoy a hybrid working model, access to personalised learning and development opportunities and the holistic support of our health and wellbeing program.
We offer industry competitive salaries, a generous superannuation scheme (including co-contribution) and study assistance.
You can find out more about our Employee Benefits by visiting Working at WorkCover Qld.
Please submit your resume and a covering letter (no more than two pages) outlining your suitability for the role.
We're particularly interested in your leadership of cross-functional delivery, achievements in insurance claims operations, and how you've contributed to optimising claims management processes, system performance, and business outcomes.Applications close at 9AM, Monday 18th of August.We are committed to ensuring WorkCover reflects the diversity of the Queensland community.
We welcome applications from First Nations peoples, members of the LGBTQIA+SB community, people of all ages, people who are neurodivergent, people with disability, and people from culturally and linguistically diverse backgrounds.To provide you the best experience, we can support with accommodations or adjustments at any stage of the recruitment process.
Simply inform our recruitment team during your conversation with them.Pre-employment checks will be conducted on all prospective employees.
This will include a Right to Work in Australia Check, Police Check, Education Check, Reference Check and where appropriate a Visa Check.
The information provided will be treated as confidential in accordance with the Information Privacy Act 2009 (Qld).
Please Note: WorkCover does not accept unsolicited resumes from agencies and will not be liable for related fees.
All recruitment is managed internally.
Agencies must not represent or promote WorkCover roles without prior written authorisation.Unlock job insightsSalary match Number of applicants Skills matchWorkCover Queensland is a government owned statutory body, providing workers' compensation insurance in Queensland since 1997.
A self-funded statutory authority, we strive to maintain Australia's lowest average premium rate by continuously investing in efficient online customer services, experienced in-house claims management capability and sustainable premium and return to work outcomes for employers and injured workers.We are a customer focused insurer and aim for insurance excellence.
Despite it being mandatory for all Queensland employers to hold a WorkCover accident insurance policy (unless employers hold a self-insurance licence), WorkCover is committed to providing a customer experience and value propositions that are equal to or better than commercial insurers.Source: This is an extract from the company's own website.WorkCover Queensland is a government owned statutory body, providing workers' compensation insurance in Queensland since 1997.
A self-funded statutory authority, we strive to maintain Australia's lowest average premium rate by continuously investing in efficient online customer services, experienced in-house claims management capability and sustainable premium and return to work outcomes for employers and injured workers.We are a customer focused insurer and aim for insurance excellence.
Despite it being mandatory for all Queensland employers to hold a WorkCover accident insurance policy (unless employers hold a self-insurance licence), WorkCover is committed to providing a customer experience and value propositions that are equal to or better than commercial insurers.Source: This is an extract from the company's own website.To help fast track investigation, please include here any other relevant details that prompted you to report this job ad as fraudulent / misleading / discriminatory.Featured jobs24d agoStaffing Options for Community Services24d agoCase Manager (low risk claims)10d agoResearching careers?
Find all the information and tips you need on career advice.
#J-18808-Ljbffr