Remediation Specialist

4 days ago

Melbourne, Victoria, Australia beBeeQuality Full time $90,000 - $120,000

We are seeking an experienced Remediation Specialist to join our team. The successful candidate will have a strong background in quality assurance, claims processing, and policy management within the health insurance industry.

**Job Description:**

In this role, you will provide quality assurance and process improvement support to our remediation operations teams. This includes collating insights through reporting and using them for risk management and continuous improvement. You will also play a crucial role in claims processes, identifying risk and impacts to business-driven changes and contribute to supporting our claims processing teams by maintaining knowledge content, providing advice and coaching support through feedback and assisting the team with new content.

**Key Responsibilities:**

  • Execution of the Quality Assurance framework to support operational teams in delivering quality customer outcomes
  • Delivery of training/skilling as required to meet the remediation pipeline
  • Analysing data sets and providing valuable data driven insights to key stakeholders for informed decision-making and input into planning
  • Complete accurate and timely reporting, analyse reports to identify insights and trends and implement actions where required
  • Creation and maintenance of procedural and technical content for the benefit of the remediation operations teams
  • Actively contributing as a process SME in business-driven and continuous improvement initiatives
  • Initiate and contribute to identification of improvement opportunities for the end-to-end remediation process.

**Requirements:**

  • Generally, 3-5 years of experience in the health insurance industry is needed, with a focus on claims processing, policy management, or quality assurance
  • Specific experience in handling or overseeing remediation processes and quality control within the health insurance domain is important
  • Experience in quality assurance or quality control roles, particularly within health insurance or related fields, is essential
  • Strong understanding of health insurance regulations, compliance requirements, and industry standards
  • Proficiency in analysing data to identify trends, issues, and areas for improvement
  • Ability to use data to make informed decisions and recommendations
  • Familiarity with quality management software, claims management systems, and data analysis tools
  • Proficiency in using MS Office (Excel, Word, PowerPoint) for reporting and documentation

**Benefits:**

  • Flexible working arrangement
  • Opportunity to work in a fantastic work culture
  • Comprehensive wellbeing program
  • Discounted products and services via our extensive partner network
  • Additional annual leave day for wellbeing

**About Us:**

We care about our people and want to help them live their best lives. Our global wellbeing program covers all aspects of health - from mental and physical, to financial, social and environmental wellbeing. We offer health benefits, information and support for everyone who works here.

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