" \u003cdiv class=\"ja-job-details\"\u003e \u003ch2 class=\"title\"\u003eComplex Claims Case Manager | Superannuation\u003c/h2\u003e \u003cdiv class=\"meta\"\u003e \u003cul class=\"classifications\"\u003e \u003cli data-id=\"21449\"\u003e Superannuation \u0026amp; Wealth Management \u003c/li\u003e \u003cli data-id=\"21475\"\u003e Claims \u003c/li\u003e \u003cli data-id=\"21449\"\u003e Workers Compensation \u003c/li\u003e \u003cli data-id=\"21475\"\u003e Claims \u003c/li\u003e \u003cli data-id=\"21451\"\u003e Melbourne \u003c/li\u003e \u003cli data-id=\"21452\"\u003e Permanent / Full Time \u003c/li\u003e \u003c/ul\u003e \u003cp class=\"date-posted\"\u003e 5/10/2026 \u003c/p\u003e \u003c/div\u003e \u003cul class=\"bullet-points\"\u003e \u003cli\u003eOwn 40-50 complex cases involving medical evidence and benefit entitlement\u003c/li\u003e \u003cli\u003e100% WFH with a a supportive, connected team\u003c/li\u003e \u003cli\u003eProgressive fund - full training and equiptment provided from Day 1!\u003c/li\u003e \u003c/ul\u003e \u003cdiv class=\"description\"\u003e If your claims experience involves assessing medical evidence, eligibilty, applying legislation and taking ownership of decisions, there is strong crossover into this role!\u003cbr\u003e\u003cbr\u003e Ensure Recruitment is partnering with an established national organisation to recruit several Complex Claims Case Managers across Melbourne\u0026nbsp;\u003cbr\u003e\u003cbr\u003e This is an opportunity to bring your existing end-to-end claims expertise into a specialist Superannuation environment, with structured training in the Legislation and Benefit framework.\u003cbr\u003e\u003cbr\u003e You\u0026rsquo;ll work remotely as part of a supportive, connected team, with experienced Managers and Team Leaders available for technical guidance.\u003cbr\u003e \u003cbr\u003e\u003cem\u003e\u003cstrong\u003eThe role\u003c/strong\u003e\u003c/em\u003e\u003cbr\u003e Manage approximately 40\u0026ndash;50 active cases involving medical conditions, incapacity and benefit entitlement. You\u0026rsquo;ll investigate each matter, assess the available evidence and progress it towards a clear, well-supported outcome, \u003cbr\u003ekeeping members informed along the way.\u003cbr\u003e \u003cbr\u003eYour responsibilities will include:\u003cbr\u003e \u003cul\u003e \u003cli\u003eOwning cases from initial assessment through to decision and outcome\u003c/li\u003e \u003cli\u003eReviewing medical and employment evidence, identifying gaps and obtaining further information\u003c/li\u003e \u003cli\u003eApplying legislation, policy and scheme rules to assess eligibility and entitlement\u003c/li\u003e \u003cli\u003eMaking or contributing to benefit decisions and clearly documenting your reasoning\u003c/li\u003e \u003cli\u003eManaging sensitive conversations with members, families and other stakeholders\u003c/li\u003e \u003cli\u003eKeeping complex matters progressing while balancing deadlines and competing priorities\u003c/li\u003e \u003c/ul\u003e \u003cstrong\u003e\u003cem\u003eThe experience that translates\u003c/em\u003e\u003c/strong\u003e\u003cbr\u003e \u003cbr\u003eWe\u0026rsquo;re looking for current or recent end-to-end claims management experience, particularly within \u003cstrong\u003eWorkers Compensation, Self-Insurance, Comcare, superannuation disability or comparable statutory claims environments.\u003c/strong\u003e\u003cbr\u003e \u003cbr\u003eYou should be able to explain how you have assessed evidence, formed a view on liability or entitlement, and taken responsibility for progressing a claim through to an outcome. Experience involving psychological injury, incapacity or complex medical circumstances will be particularly relevant.\u003cbr\u003e \u003cbr\u003eYour judgement, written communication and ability to handle sensitive situations are important. You don\u0026rsquo;t need to know this organisation\u0026rsquo;s specific framework already, but you do need substantive claims assessment experience to build on.\u003cbr\u003e\u003cbr\u003e \u003cem\u003eRoles limited to lodgement, administration, triage or RTW coordination without broader claim ownership will not provide the experience required. General insurance experience alone, without relevant medical and entitlement assessment, is unlikely to align with the brief.\u003c/em\u003e\u003cbr\u003e \u003cbr\u003eWhy consider it?\u003cbr\u003e \u003cul\u003e \u003cli\u003eStrong remuneration and permanent, full-time employment\u003c/li\u003e \u003cli\u003e100% work from home, with equipment provided\u003c/li\u003e \u003cli\u003eA supportive team culture with experienced colleagues to turn to\u003c/li\u003e \u003cli\u003eStructured technical training and ongoing development\u003c/li\u003e \u003cli\u003eA portfolio of approximately 40\u0026ndash;50 active cases\u003c/li\u003e \u003cli\u003eSeveral opportunities for candidates based in Melbourne and Canberra\u003c/li\u003e \u003c/ul\u003e \u003cstrong\u003eAustralian Citizenship is mandatory due to the organisation\u0026rsquo;s screening requirements.\u003c/strong\u003e\u003cbr\u003e\u003cbr\u003e If you\u0026rsquo;ve built your experience around complex claims and evidence-based decisions, I\u0026rsquo;d welcome a conversation about how it could translate.\u003cbr\u003e\u003cbr\u003e Apply with your CV or contact Kurt : k.ringland@ensurerecruitment.com.au for a confidential discussion. \u003c/div\u003e \u003cdiv class=\"apply\"\u003e \u003ca class=\"back-link\" href=\"#\" title=\"Back to search results\"\u003eBack to search results\u003c/a\u003e \u003cinput type=\"button\" class=\"ja-button\" data-job-id=\"4475807\" value=\"Apply Now\" title=\"Apply Now\" /\u003e \u003c/div\u003e \u003c/div\u003e "