Aps5 - Claims and Payments Officer

3 weeks ago


Gold Coast, Australia HOBAN Recruitment Full time

HOBAN Recruitment are currently sourcing an experienced APS5 Claims and Payments Officer to work with our client who is an independent statutory agency, responsible for supporting thousands of Australians with a significant and permanent disability and their families and carers.

The Claims and Payments Integrity Team is responsible for implementing detective and preventative measures that will reduce claims and payments error and improve compliance through performing a combination of manual validation checks and systematic risk & behavioural analytics.
- Located in Robina, Queensland
- 12-month contract, with the possibility of an extension, pending business requirements.
- $53 per hour excluding superannuation

**About the role**
- Undertaking control and conformance testing and providing administrative support.
- 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.

**About you**
- Must be an **Australian Citizen**:

- Compliance experience would be highly beneficial
- Excellent stakeholder engagement skills and the ability to navigate complex and sensitive conversations
- High attention to detail



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