The opportunity
The Manager, Claims plays a critical leadership role in strengthening the systems, insights and performance frameworks that underpin the delivery of high‑quality claims services across the Return to Work Scheme. Reporting to the Chief Operating Officer, you will lead a team that provides the operational foundation enabling claims agents to deliver timely, fair and consistent support to injured workers.

In this role, you will analyse scheme performance, predict emerging risks, and design improvements that enhance customer experience, protect scheme integrity, and support better return‑to‑work outcomes for South Australians. This is an opportunity to contribute strategically to the future of the scheme while expanding your leadership impact in a purpose‑driven organisation.

The position
As Manager, Claims, you’ll drive operational excellence, uplift capability across claims agents and improve outcomes for injured workers. This is a key strategic leadership role for an experienced people leader from personal injury, insurance or workers’ compensation.

You will drive operational excellence, uplift capability across claims agents and improve outcomes for injured workers. This is a key strategic leadership role for an experienced people leader from personal injury, insurance or workers’ compensation.

You will lead a diverse team responsible for the systems, controls and performance mechanisms that support Eligibility, Recovery and Return to Work, Serious Injury, and scheme payment processes. You will enable high‑quality and consistent service delivery across the scheme through:

• Designing and continuously improving service models, operational policies and risk controls
• Analysing scheme performance trends and providing forward‑looking insights to inform organisational decision‑making
• Leading KPI governance, performance reviews and quality assurance activities
• Partnering with internal teams to uplift capability across our claims agents
• Overseeing the EnABLE team supporting workers with severe, traumatic or complex injuries
• Ensuring timely, accurate and compliant compensation and service payments
• Collaborating with Regulation, Analytics and other specialist teams to uphold scheme boundaries and compliance

You excel in building high‑performing teams, fostering a culture of accountability, excellence and customer‑centred decision‑making. You are forward‑thinking, confident in influencing senior stakeholders, and skilled at navigating dynamic environments where collaboration and sound judgement are essential. Experience interpreting the Return to Work Act 2014 is highly regarded.

About ReturnToWorkSA
At ReturnToWorkSA, our purpose is to empower and support South Australians impacted by work injury. Our services and those delivered by our claims agents are designed to provide early intervention support to workers and employers following a work injury to ensure the worker can recover and return to work as quickly as possible. We manage the collection of premium payments from registered employers and our invested funds to ensure we maintain a viable financial position that enables the delivery of quality support and services to injured workers.

In addition, we are the regulator of the Return to Work scheme and play the key role of protecting the integrity and fairness of the Scheme by monitoring and enforcing compliance with the Act and providing education and support about the health benefits of work.

Why join us? 
Experience a workplace culture that rewards your contribution and provides the development and support to help you reach your potential. We are committed to fostering a diverse and inclusive workplace where our people can genuinely make a difference to the lives of South Australians affected by work injury. At ReturnToWorkSA, you can expect a range of benefits including:

• An extensive wellbeing program
  • access to a broad range of wellbeing seminars, webinars and information sessions
  • a free onsite gym and bike storage
  • annual vaccinations, skin checks, seasonal fruit and corporate cup challenge
  • discounted corporate private health insurance
  • and a proactive EAP provider
• Flexible work options including part time and working from home
• Access to learning and development programs to enhance your personal and professional skill set and career development
• Modern offices with excellent amenities in the Adelaide CBD

Further information
Candidates will also be assessed based on their ability to demonstrate personal and professional alignment with ReturnToWorkSA’s organisational values which are critical to our success: We care about people and sustainability; We are inclusive and innovative; We listen to understand; and We own our actions.

Claims Manager PD - Insurance 

The total remuneration package for this position is commencing from $166,500.00 (exclusive of superannuation). The final offer will be commensurate with the successful candidate’s qualifications, skills and experience.

How to apply
Please submit an expression of interest demonstrating your key capabilities and experience supported by your current resume addressed to Declan Collins by 5:00pm 11 February 2026. If you have questions about the role, please contact recruitment@rtwsa.com

Please note shortlisting and interviewing for this role will commence immediately so we strongly encourage all candidates to put forward your application as soon as possible. The role may close early if a preferred candidate is identified.

Inclusion and acceptance
ReturnToWorkSA is an equal opportunity employer, valuing difference and embracing diversity and we promote flexible ways of working, applicants are encouraged to discuss any workplace adjustments that might be needed as well as the flexible working arrangements for this role.

Still not sure?
We are proud to be recognised as an Endorsed Employer for All Women by WORK180. Research indicates that up to 60% of women and underrepresented groups may hesitate to proceed, even after completing a draft application. We firmly believe that diversity enhances the strength of every team, so even if you don’t tick all the boxes we still want to hear from you.