Aps5 Claims

6 months ago


Robina, Australia DFP Recruitment Services Full time

**Job description**:
**The opportunity**
On behalf of a large Federal Government Agency, we are looking for an APS5 Claims & Payments Integrity Officer to join the Claims and Payments branch based in Robina. This role is a 12-month assignment and may have the possibility of an extension.

The role is based in Robina, Queensland. The role pays $55.24/hourly + 11% superannuation.

**Key responsibilities include;**
- Undertaking control and conformance testing and providing administrative support for the PPC and SMP Programs
- Providing input to appropriate assurance and compliance reports to articulate outcomes of reviews and actions required including delivering compliance decisions to participants and providers
- Modifying test documentation (Test Guides and Test Forms) to ensure assurance program relevancy
- Undertaking reviews of targeted claims through engagement with providers, plan managers and participants
- Contributing to the design of new detective and preventative controls using a combination of manual validation check and systematic analytics
- Working with various teams to investigate, report on and escalate claims and payments anomalies

**To be considered for this role, you will demonstrate;**
- Communicate clearly and concisely
- Adapt to, support and manage change
- Effectively manage time and resources to ensure that work is completed efficiently

**To apply**
As this role is within the Government sector, applicants are required to hold an Australian Citizenship.

If you are interested in the above role, please APPLY NOW.