Compensation Recovery Specialist

7 days ago

Sydney, New South Wales, Australia beBeeRecovery Full time $100,000 - $130,000

We are seeking a highly skilled professional to join our team as a Compensation Recovery Specialist. As a key member of our compensation function, you will play a pivotal role in driving successful payment recovery strategies and providing expertise in systems implementation and analytics adoption.

About the Role:

The successful candidate will independently manage a varied compensation case portfolio, conducting cases within an agreed annual work program. You will review individual compensation cases to determine where payments for claims should be made by a third-party and instigate recoveries. Additionally, you will manage compensation cases with accurate and timely provision of claims information to third parties to drive recovery of compensable funds.

Key Responsibilities:

  • Conduct compensation cases within an agreed annual work program
  • Review individual compensation cases to determine where payments for claims should be made by a third-party and instigate recoveries
  • Manage compensation cases with accurate and timely provision of claims information to third parties to drive recovery of compensable funds
  • Work with the Claims Integrity Data Science team to leverage data and process change to drive an increase in the prevention and recovery of payments that are the responsibility of a third-party
  • Prioritize activities so the compensation function meets annual operating plan (financial) targets

Requirements:

To succeed in this role, you will require:

  • Minimum three years' experience with a Private Health Insurer and/or experience in a legal or paralegal position
  • Demonstrated understanding of health insurer claims processes
  • Understanding of State legislations relating Worker's compensation, motor vehicle accidents, medical indemnity, public liability (desirable)
  • Demonstrated ability to operate with multiple workstreams and competing priorities to achieve or exceed targets
  • Strong written and presentation skills with attention to detail
  • Ability to analyse complex data, pulling out key highlights which can be understood by management

About Us:

We are an international healthcare group committed to helping people live longer, healthier, happier lives and making a better world for over 70 years. We operate in Australia, New Zealand, and Hong Kong, supporting about 6.5 million customers through a broad range of health and care services including health insurance, aged care, dental, medical, optical, and hearing services.

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