Payment Integrity Specialist (See-u)

Welcome to the Latest Job Vacancies Site 2025 and at this time we would like to inform you of the Latest Job Vacancies from the HBF Health with the position of Payment Integrity Specialist (See-u) - HBF Health which was opened this.

If this job matches your qualifications, please send your application directly through our latest Job site. Indeed, every job is not easy to apply because it must meet several qualifications and requirements that we must meet in accordance with the standard criteria of the Company who are looking for potential candidates to work. Good job information Payment Integrity Specialist (See-u) - HBF Health below matches your qualifications. Good Luck: D

HBF Employee Benefits

• Flexibility with hours and work-from-home options
• Fully Subsidised Corporate Gold Health Cover for you and your family
• 13 days personal leave per year
• Access to corporate discounts across a range of retail, restaurants, and hotels

We are open to all candidates across Queensland. With offices located in Townsville and Brisbane CBD, we welcome applicants from all over the state to join us in supporting the See-U brand in Brisbane.

Are you passionate about protecting the interests of the HBF Group and ensuring the sustainability of the See-U? As the Payment Integrity Specialist, you will play a crucial role in preventing, identifying, and recovering claims leakage by investigating inappropriate claiming (provider or member).

About the role

• Conduct investigations into claims leakage, fraud, or inappropriate behaviour to reduce potential loss to the organisation.
• Identify areas where rules can be introduced, enhanced, or changed to improve the identification of claims leakage.
• Seek recovery of outstanding debts to the HBF Group.
• Liaise with internal and external stakeholders, including providers and members, to gather and document evidence.
• Prepare and submit reports to the Executive and provide fraud awareness training to management and team members.
• Continuously review and make recommendations on current HBF policies and rules to reduce the risk of claims leakage.
• Develop and maintain effective working relationships with key stakeholders and share outcomes and learnings from investigative experiences.

About you

• Minimum 2 years of experience in conducting investigations and/or audits, or 3 years of health insurance claims experience.
• Strong verbal and written communication skills, with demonstrated high-level report writing ability.
• High level of interpersonal skills, including the ability to build strong relationships and influence others.
• Demonstrated analytical skills, including knowledge of Microsoft Office suite products.
• Proven ability to develop and deliver presentations for effective dissemination of fraud awareness information.
• Certificate III in Investigations or eligibility to attain an Investigators Licence is desirable.
• Experience in preparing briefs of evidence for police and/or regulatory bodies is a plus.

Next Steps

If you are looking for an exciting opportunity and are passionate about protecting the interests of the HBF Group, wed love to hear from you.

Our recruitment process includes reference checks, National Police Clearance, and verification of working rights in Australia.

At HBF, we dont just accept difference — we celebrate it. We encourage applications from diverse groups including Indigenous and Torres Strait Islander people, and individuals of all abilities, orientations, and backgrounds.

Advertised: 10 Jan 2025 E. Australia Standard Time Applications close:

Information :

• Company : HBF Health
• Position : Payment Integrity Specialist (See-u)
• Location : Brisbane QLD
• Country : AU

How to Submit an Application:

After reading and knowing the criteria and minimum requirements for qualifications that have been explained from the Payment Integrity Specialist (See-u) job info - HBF Health Brisbane QLD above, thus jobseekers who feel they have not met the requirements including education, age, etc. and really feel interested in the latest job vacancies Payment Integrity Specialist (See-u) job info - HBF Health Brisbane QLD in 2025-01-11 above, should as soon as possible complete and compile a job application file such as a job application letter, CV or curriculum vitae, FC diploma and transcripts and other supplements as described above, in order to register and take part in the admission selection for new employees in the company referred to, sent via the Next Page link below.