Deskripsi Pekerjaan
Join Income Insurance Limited as a Senior Executive in Claims Recovery (Healthcare) and become a pivotal force in optimizing our healthcare claims operations. In this dynamic role, you'll navigate complex claim scenarios to ensure accurate recoveries while collaborating with cross-functional teams to drive efficiency and compliance. Our collaborative environment empowers you to develop specialized expertise in healthcare insurance regulations, fraud detection, and reimbursement strategies. You'll gain exposure to cutting-edge industry practices while directly contributing to meaningful customer outcomes through ethical claims resolution. This position offers unparalleled growth opportunities within a forward-thinking organization committed to excellence in the insurance and superannuation sector.
Tanggung Jawab
- Lead end-to-end healthcare claim recovery processes for complex cases
- Analyze claim discrepancies to identify recovery opportunities and root causes
- Collaborate with medical and legal teams to validate recovery justifications
- Develop and implement process improvements for claims recovery workflows
- Ensure compliance with regulatory requirements and internal policies
- Train and mentor junior team members on recovery methodologies
- Generate detailed recovery reports and performance metrics
Kualifikasi
- Bachelor's degree in Healthcare Administration, Finance, or related field
- Minimum 5 years' experience in insurance claims management
- Specialized knowledge of healthcare insurance regulations and reimbursement systems
- Strong analytical skills with attention to financial detail
- Proven ability to manage complex claim investigations
- Excellent communication and stakeholder management abilities
- Proficiency in claims management software and data analysis tools