Ancillary Claims Auditor

About the RoleWe are seeking a skilled Claims Auditor to join our Ancillary team at Medibank Private Limited. As a Claims Auditor, you will play a critical role in ensuring the integrity of our healthcare claims process.Key ResponsibilitiesClaims Review and Analysis: Conduct thorough reviews of healthcare claims to identify irregularities and ensure...

About the RoleWe are seeking a highly skilled Ancillary Claims Auditor to join our team at Medibank Private Limited. As a key member of our Payment Integrity Ancillary team, you will play a critical role in preventing improper payments and benefit leakage through detection, monitoring, prevention, and investigation of fraud, abuse, waste, and error.Key...

Achieve Excellence in Customer Operations Australian Unity is seeking a highly skilled Team Leader to join our Customer Operations team. As a Team Leader, you will be responsible for leading and developing a team of Ancillary Claims Assessors, ensuring a positive experience is delivered accurately and efficiently to our health insurance members and...

About Team AaaTeam Aaa is a leading provider of health insurance solutions, dedicated to helping our customers thrive. With a strong social purpose and commercial principles, we strive to create community value and deliver exceptional customer experiences.About the RoleWe are seeking an experienced Team Leader to join our Customer Operations team. As a Team...

Position Overview: The primary objective of this role is to oversee the ancillary claims integrity and compensation operations to identify, avert, and recuperate financial losses stemming from claims leakage. This will be achieved through initiatives outlined in the Claims Integrity strategy, utilizing processes, systems, and advanced analytics for enhanced...

Role OverviewThe primary objective of this position is to oversee the ancillary integrity and compensation operations, aiming to identify, avert, and recover financial losses stemming from claims leakage. This will be achieved through the implementation of initiatives outlined in the Claims Integrity roadmap, utilizing process optimization, systems...

Role OverviewThe primary objective of this position is to oversee the ancillary integrity and compensation operations aimed at identifying, preventing, and recovering financial losses due to claims leakage. This will be achieved through initiatives outlined in the Claims Integrity roadmap, utilizing process improvements, systems, and advanced analytics for...

About the RoleWe are seeking an experienced Senior Manager to lead our Ancillary Integrity and Compensation functions. As a key member of our team, you will be responsible for detecting, preventing, and recovering financial losses resulting from claims leakage.Key ResponsibilitiesLead the development and implementation of strategies to detect and prevent...

The OpportunityHealthscope is expanding its National PHI Audit, Revenue Optimisation and Integrity team, offering a hybrid working model with interstate and local travel required to support various sites.About YouWe are seeking an experienced Registered Nurse to join our Clinical Claims Audit Team. The successful candidate will have 5 years of senior...

About the OpportunityHealthscope is expanding its National PHI Audit, Revenue Optimisation and Integrity team, offering a hybrid working model with interstate and local travel required to support various sites.About YouWe are seeking an experienced Registered Nurse to join our Clinical Claims Audit Team. The successful candidate will have 5 years of senior...

About the RoleWe are seeking an experienced and skilled Hospital Manager – Healthcare Integrity Specialist to join our team at Dental Corporation. As a key member of our organization, you will play a critical role in preventing leakage through the reduction of fraud, waste, abuse, and error of hospital and medical claims.Key ResponsibilitiesManage a Team...

About the RoleAECOM is seeking an experienced Contract Law Specialist to join our Australia and New Zealand (ANZ) Legal Team based in Melbourne.Key ResponsibilitiesDrafting and Negotiating Contracts: Draft, review, and negotiate AECOM's project contracts, including consultancy services agreements, alliance, tender services, SaaS, PM, and EPCM agreements, and...

AECOM is seeking an experienced contract law specialist to join our Australia and New Zealand (ANZ) Legal Team based in Melbourne. As a key member of our team, you will be responsible for advising on a wide range of transactions, including drafting and negotiating project contracts and related contract documentation, managing complex disputes, and handling...

About the RoleWe are seeking a highly skilled and experienced Hospital Manager to join our team at Dental Corporation. As a key member of our healthcare team, you will be responsible for leading the identification, mitigation, elimination, and management of claim inaccuracy and leakage in hospital and medical claims.Key ResponsibilitiesManage a team of...

About the RoleAECOM is seeking a highly skilled and experienced Legal Counsel to join our team in Melbourne. As a key member of our Australia and New Zealand (ANZ) Legal Team, you will play a critical role in advising on a wide range of transactions for a large multinational engineering consultancy firm.Key ResponsibilitiesDrafting and Negotiating...

About the RoleVentia is seeking an experienced SHEQ Advisor to join our Energy and Renewables team. As a key member of our organization, you will provide critical support and advice to our Gas division across Victoria, South Australia, and external business units to achieve organizational SHEQ objectives.Key ResponsibilitiesManage incident investigation and...

About CitywideAt Citywide, we are a proud company with a clear purpose and mission – we shape liveable cities by delivering the full scope of civil infrastructure, open space and environmental services to government and private enterprise. Collectively, our services positively impact more than 1 million Australians every day.Key ResponsibilitiesFinancial...

Company DescriptionAt AECOM, we're delivering a better world.We believe infrastructure creates opportunity for everyone. Whether it's improving your commute, keeping the lights on, providing access to clean water or transforming skylines, our work helps people and communities thrive.Our clients trust us to bring together the best people, ideas, technical...

At Bupa, our purpose is helping people live longer, healthier, happier lives and making a better world. We’re a global people business that has been caring about health and happiness since 1947. Together, we’re building our future on our shared values of being brave, caring, and responsible - our employee health and wellbeing program really is our...

The key focus of this role is to lead the ancillary integrity and compensation functions to detect, prevent and recover financial losses as a result of claims leakage, through programs of work which are developed through the Claims Integrity roadmap by leveraging process, system and advanced analytics to operate more effectively. The role demands a leader...

**Join us and let’s make a bigger difference together.** It’s an exciting time to be joining Australian Unity - we have grown significantly over recent years and are transforming to capitalise on further growth opportunities to help our customers and employees thrive. We operate with commercial principles and with a strong social purpose to create...

Primary Location Melbourne, VIC Job Description Summary An exciting opportunity has arisen for a Desktop Auditor to join Service Stream in our Melbourne office. About the Role Service Stream’s Telecommunications division are currently seeking a Desktop Auditor to join our growing company. You will be responsible for performing desktop audits to ensure...

The Opportunity The Healthscope National PHI Audit, Revenue Optimisation and Integrity team is growing! We offer a hybrid working model with interstate and local travel required to support our various 38 Healthscope sites.Ideally seeking candidates based in NSW, however this is negotiable.This is an exciting opportunity to grow a career beyond clinical...

The Cullinan Group has been in operation for over 20 years and is a wholly owned private company established in Australia. The Group comprises horizontally integrated businesses which assist a broad range of clients to grow, innovate, improve and transform their organisations and markets. The Group has offices across Australia, New Zealand, the United States...

Have you always wanted to work for Australia’s largest Health and Care company? As the Recoveries Manager, you will be responsible for leading a team to through identification, investigation, recovery and reconciliation activities towards incorrectly overpaid claims to Bupa Hospital, Medical and Ancillary Providers, Medicare, Customers and, Third-Parties....

Have you always wanted to work for Australia’s largest Health and Care company? As the Recoveries Manager, you will be responsible for leading a team to through identification, investigation, recovery and reconciliation activities towards incorrectly overpaid claims to Bupa Hospital, Medical and Ancillary Providers, Medicare, Customers and, Third-Parties....

As the Manager – Hospital & Medical Integrity the key focus of this role is to prevent leakage through the reduction of fraud, waste, abuse and error of hospital and medical claims. You will be responsible for managing the identification, mitigation, elimination and management of claim inaccuracy and leakage. The role demands a strong leader in the field...

**Overview of the Team and role** The Regulatory Operations Group has responsibility for achieving safer and healthier workplaces within its jurisdiction. As an effective national regulator, it does this by promoting continuous improvements in work health, safety and rehabilitation practices and monitoring and compliance with the law. Using a contemporary...

Quality Assurance Officer EML is a leading **Workers Compensation** and **Personal Injury Claims Management** business. Our goal is to help people get their lives back through **ongoing support during their return-to-work journey**. We continue to experience ongoing growth and now have over **4,000 dedicated employees**. We foster a learning culture that...

Looking for a trusted and highly valued HSE Manager, to be a good leader and drive change. **Your new company** This organisation is a Family owned Australian wide Business, that is proud to be sustainable and independent in this sector. They support independent retailers in their local communities by providing merchandising, operational and marketing...

**Reports To**: - Station Head MEL **Role Purpose**: Responsible and accountable to plan and monitor the overall ground operations at the respective station to ensure Malaysia Aviation Group (MAG) flight operations in a safe, secure and in full compliance with all regulatory requirements, company policies, and SOPs. Assistant Station Head is responsible to...

**#GreatMindsDon'tThinkAlike **At Uber, we take pride in our diversity and working environment that sees you as more than just a person that can do the job, but a unique individual that can level up our organisation with a perspective only you can offer. Uber provides a truly open culture that encourages all to voice their thoughts. **About The Role In this...

**Position Title**: - Assistant Station Head MEL **Reports To**: - Station Head MEL **Role Purpose**: Responsible and accountable to plan and monitor the overall ground operations at the respective station to ensure Malaysia Aviation Group (MAG) flight operations in a safe, secure and in full compliance with all regulatory requirements, company policies,...

**Overview of the Team and Group** The Regulatory Operations Group (ROG) has responsibility for achieving safer and healthier workplaces within its jurisdiction. As an effective national regulator, it does this by promoting continuous improvements in work health and safety practices and monitoring compliance with the law. Using a risk-based approach, the...

What are you going to do li]:text-brunel-dark-grey [&_ul>li]:py-2 [&_p]:text-brunel-dark-grey [&_ul>li>ul>li]:pl-0 pl-4 description">Your main duties and responsibilities will include (but are not limited to):Oversee all aspects of accounting, including accounts payable, receivable, payroll, and fixed assets.Ensure accuracy in General Ledger accounts and...

Global power development and investment company - Renewable energy leader **Job Description: Financial Controller** **Location: Melbourne, Victoria Australia** We are seeking a highly skilled and experienced Financial Controller to oversee the financial management of wind and solar assets in Australia. As the Financial Controller, you will act as a key...

At Bupa, our purpose is helping people live longer, healthier, happier lives and making a better world.Join the Healthcare Management Data Science & Insights team in this newly created role as Senior Data Scientist . Working in a passionate team of healthcare data professionals, you’ll make a direct impact by delivering advanced statistical analysis for...

Lineage is the world's largest temperature-controlled industrial REIT and logistics solutions provider, with a global network of over 400 facilities, spanning 25 countries across North & South America, Europe and Asia-Pacific. Working a Lineage is not just a job - it's an opportunity to innovate and put your mark on how food moves from the farm to dinner...