Aps5 Claims

3 days ago

Melbourne, Australia Talent International Full time

**Job Details**:
**Location**

Melbourne

**Salary**

Up to AU$55.24 per hour

**Job Type**

Full Time

**Ref**

BBBH86523_1678080356

**Contact**

Samuel Beckett

**Posted**

about 2 hours ago

Talent International are currently recruiting for multiple **APS5 level Claim's and Payments Integrity Officer's** to work for an Australian Federal Government Client based in Richmond.

This position is an initial 12-month contract with the view to be extended and is paying an **hourly rate of $55.24 hourly + Super.**

**The team**:
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.

The team is responsible for engaging with providers, plan managers and participants to increase the testing and validation of claims and to also design and implement control measures that are preventative. It reports on outcomes of detective and preventative validation activities and assists with remediation. It is also responsible for establishing and maintaining internal and external relationships to improve the claims and payments control environment.

**Responsibilities **may include**but are not limited to**:

- 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

**About you?**
- Previous experience in a similar position
- Leadership experience to quality for APS6 position
- A positive attitude towards disability
- Government experience highly regarded
- Relevant tertiary qualifications
- You must be an **Australian Citizen** to work for this Client

**Apply**
If you can demonstrate all the

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