Healthcare Claims Evaluator

Position Overview:As a Clinical Claims Specialist, you will become a vital part of our assessment team, specializing in compliance and eligibility evaluations within the health insurance sector. Your primary responsibility will be to ensure that our members receive the appropriate benefits for their claims while identifying instances where claims may not...

About the RoleGallagher is a leading provider of insurance and risk management solutions, and we're seeking a highly skilled Senior Eligibility Officer to join our team.Key ResponsibilitiesManage a portfolio of complex and scheme-critical claims, ensuring timely and accurate decision-making.Conduct thorough eligibility assessments, reviewing and evaluating...

About the RoleGallagher is a leading provider of insurance and risk management solutions, and we're seeking a highly skilled Senior Eligibility Officer to join our team.Key ResponsibilitiesManage a portfolio of complex and scheme-critical claims, ensuring timely and accurate decision-making.Conduct thorough eligibility assessments, reviewing and evaluating...

About the RoleWe are seeking a highly skilled and experienced Senior Eligibility Officer to join our team at GB - Global. As a key member of our organization, you will play a critical role in managing complex claims and ensuring that our customers receive the support and guidance they need.Key ResponsibilitiesManage a portfolio of complex and scheme-critical...

About the RoleWe are seeking a highly skilled and experienced Senior Eligibility Officer to join our team at GB - Global. As a key member of our organization, you will play a critical role in ensuring the effective management of complex claims and providing expert guidance to our customers.Key ResponsibilitiesManage a portfolio of complex and scheme-critical...

{"title": "Clinical Assessor Role Overview", "content": "Clinical Assessor Role OverviewBupa is seeking a skilled Clinical Assessor to join our team, responsible for reviewing medical claims to determine medical necessity and coverage under patient insurance policies.As a Clinical Assessor, you will work closely with healthcare providers to coordinate care,...

About the RoleWe are seeking a skilled Clinical Assessor to join our team of experts in compliance and eligibility assessment in the health insurance industry. As a Clinical Assessor, you will play a critical role in ensuring that our members' claims are processed efficiently and accurately.Key ResponsibilitiesDeliver accurate and timely clinical assessments...

Programmed Health Professionals: A Leading Provider of Healthcare ServicesWe are seeking experienced Registered Nurses to join our team and work in a variety of acute care settings across Adelaide and Regional SA.Key Responsibilities:Provide high-quality patient care in accordance with established clinical guidelines and protocols.Collaborate with...

Job Summary As a Return to Work Officer at Gallagher, you will play a critical role in delivering personalized services to workers, employers, and treating health practitioners. This position is a stepping stone towards the RTWS role and involves managing a portfolio of both Corporate and Commercial medical expense claims. Key Responsibilities On a...

About the RoleThe Clinical Assessor will play a crucial role in ensuring the accuracy and efficiency of medical claims reviews, working closely with healthcare providers to coordinate care and ensure that patients receive appropriate and cost-effective treatments.**Key Responsibilities:**Deliver accurate, timely, and efficient clinical assessments of all...

About the Role:We are seeking a highly skilled and experienced Technical Service Advisor to join our team at Suncorp Group. As a Technical Service Advisor, you will play a critical role in providing support to the Claims Team and Claims Performance Manager in various aspects of claims management.Key Responsibilities:Manage complaints and provide timely...

About the RoleWe are seeking a highly skilled and experienced Technical Service Advisor to join our team at Suncorp Group. As a Technical Service Advisor, you will play a critical role in providing support to the Claims Team and Claims Performance Manager in various aspects of claims management.Key ResponsibilitiesManage complaints and provide timely...

About Framework Search & SelectWe are a leading recruitment agency specialising in the placement of healthcare professionals across various sectors, including mental health, aged care, disability, community, hospitals, return to work/rehabilitation, primary health, and Aboriginal Health.Job OpportunityWe are seeking a highly skilled Clinical Nurse Manager to...

About KnG HealthcareWe are a leading healthcare provider in Australia, offering a range of services and staffing solutions to the public and private sectors. Our mission is to deliver high-quality, patient-centered care in a supportive and innovative environment.Job SummaryWe are seeking an experienced Registered Nurse to join our team as a Team Leader. As a...

Position Overview: Our esteemed medical client is seeking a dedicated and experienced Medical Receptionist to join their team in a full-time capacity. While prior experience in a medical environment is preferred, it is not a strict requirement. Exceptional customer service skills and a solid background in administration are essential for this role.Role...

About the RoleWe are seeking a highly skilled and experienced Senior Eligibility Officer to join our team at GB - Global. As a key member of our organization, you will play a critical role in ensuring the effective management of complex claims and providing expert guidance to our customers.Key ResponsibilitiesManage a portfolio of complex and scheme-critical...

Company OverviewGenea Fertility SA merges over thirty years of expertise, cutting-edge technology, and a dedicated team of local professionals, including specialists, nurses, and scientists. Established as a collaboration between Genea Fertility and Fertility SA, the clinic is committed to delivering exceptional care and fertility results for patients in...

Company OverviewGenea Fertility SA merges over thirty years of expertise, cutting-edge technology, and a dedicated team of local professionals, including specialists, nurses, and scientists. Established as a collaboration between Genea Fertility and Fertility SA, the clinic is committed to delivering exceptional care and fertility results for patients in...

Company OverviewGenea Fertility SA brings together over thirty years of expertise, advanced technology, and a dedicated team of local professionals, including specialists, nurses, and scientists. Established as a collaboration between Genea Fertility and Fertility SA, the clinic is committed to delivering exceptional care and successful fertility outcomes...

Senior Product & Underwriting AnalystAre you a pricing analyst in pet insurance looking to take your career to the next level? We're seeking a driven professional to join our dynamic team in Brisbane as a Senior Product & Underwriting Analyst.Key Responsibilities:Lead the development of innovative pet insurance products, ensuring they meet the needs of our...