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Clinical Claims Specialist

3 weeks ago

Melbourne, Victoria, Australia beBeeClaim Full time $80,000 - $150,000

Role Overview

At Australian Unity, we are seeking a highly motivated individual to play a vital role in ensuring the accuracy and legitimacy of health insurance claims and clinical applications.

This key position involves reviewing and processing claims to ensure compliance with regulatory requirements and company policies. The successful candidate will be responsible for:

  1. Reviewing claims submissions for accuracy and completeness;
  2. Conducting thorough investigations into complex or disputed claims;
  3. Communicating effectively with claimants and stakeholders to resolve issues;
  4. Collaborating with internal teams to implement process improvements and optimize claim handling.

Required Skills and Qualifications

To be successful in this role, you will require:

  • A degree in nursing or a related field;
  • Proven experience in clinical settings or healthcare administration;
  • Strong analytical and problem-solving skills, with the ability to think critically and make sound judgments;
  • Excellent communication and interpersonal skills, with the ability to build strong relationships with colleagues and stakeholders;
  • Proficiency in Microsoft Office applications and other relevant software.

Benefits

As an employee at Australian Unity, you can expect a range of benefits, including:

  • A competitive salary package;
  • Ongoing training and professional development opportunities;
  • A supportive and inclusive work environment;
  • Opportunities for career advancement and growth;
  • A comprehensive Employee Assistance Program (EAP).

Why Join Our Team?

Australian Unity is committed to delivering exceptional service and outcomes for our members and customers. We pride ourselves on our values of integrity, respect, innovation, and teamwork, and we seek like-minded individuals who share these values to join our team.