Claims Investigation Specialist

Eligibility Officer RoleThis is a challenging and rewarding occupation where you will have a positive impact on someone's life every day. You will work closely with your team and relevant stakeholders to investigate, strategize, track, follow-up and determine complex claims.Investigate and assess claims to determine liability.Request information required to...

Investigations Officer Job DescriptionThis is an exciting opportunity to work as an Investigations Officer. We are seeking a skilled and experienced professional to join our team in this role.Responsibilities:Safeguard the integrity of insurance claims operations by detecting, investigating, and preventing fraudulent activities.Case manage all activities...

Job DescriptionWe are seeking a skilled and detail-oriented medical claims investigator to join our organization. In this role, you will investigate and help determine whether relevant claims are eligible to receive benefits under the provisions of the applicable policy.Main ResponsibilitiesDeliver accurate, timely, and efficient clinical assessments of all...

Seeking Investigators for Insurance ClaimsWe are looking for experienced investigators to join our team.This role offers a unique opportunity for variety and autonomy over your working day. You will be required to attend various locations, predominantly within the Adelaide metro area with a proportion of work across South Australia as required.You will...

Are you a seasoned professional seeking a challenging role that leverages your expertise in claims management?A leading medical defence organisation is currently looking for a highly skilled Claims Management Specialist to join their Adelaide team on a full-time, permanent basis. In this critical role, you will report directly to the Claims Team Manager and...

**Exciting opportunity to join SA's iconic RAA Insurance**:- **Full-time permanent position based in Mile End**:- **Join a new growing team with a high performing, inclusive and supportive culture**This exciting newly created opportunity will see you be responsible for effectively triaging 'red flag' and/or 'high-risk' claims referred by claims staff or...

This role is a rare opportunity to lead the management of member claims and investigations, supporting our members in their times of need. The successful candidate will have a proven track record in insurance claims management and a strong understanding of current health and insurance legislation. About the Role Key Responsibilities: Managing member claims...

Job Title: Claims SpecialistWe are seeking a skilled Claims Specialist to join our team. In this role, you will be responsible for managing property claims from start to finish.You will engage with customers through high-volume phone calls and help them navigate their claims process. Key responsibilities include:Managing the entire claims process...

Our role encompasses every part of our State; from our cities to our regions, connecting and strengthening community.The Investigator maintains a strong fraud and corruption prevention and assurance framework.The Investigator is accountable for researching and investigating internal incidents, claims and complaints as reported by individuals.The role...

Job OpportunityWe are seeking a skilled professional to fill the role of Casualty Claims Specialist.The ideal candidate will have experience in assessing and managing claims, with excellent analytical and communication skills.Key Responsibilities:To investigate and assess claims up to £100,000 in value on a comprehensive basis.To travel throughout Southern...