Clinical Advisors - Health Insurance Claims

Job Title: Clinical Advisors - Health Insurance Claims
Contract Type: Contract
Location: Sydney
Reference: 2733608
Contact Name: Lorraine Backhouse
Contact Email:
Job Published: May 14, 2018 17:08

Job Description

Great opportunity to join a leading insurer and use your clinical nursing experience.  Be part of a highly supportive team and experience life in a corporate environment.

The Role:
  • Working in an office environment with a team of professionals, you will be using your RN experience to evaluate medical claims.
  • Checking members medical background for pre-existing conditions and assessing claim
  • Undertaking reviews of intensive care patients, assessing that only relevant areas are claimed
  • Evaluating areas of claims, falling outside the scope of the policy
  • Providing clinical opinion regarding claims
  • Liaising the members and medical teams at hospitals

Your Skills and Experience:
  • You will be fully computer literate with great communication skills
  • You will be working as a Registered Nurse for at least 5 years, or previously worked as a nurse and transitioned into a triage or claims role
  • Acute care experience, preferably ICU, Emergency Care or Operating Theatre
  • Available within 1/2 weeks, to start a 6 month contract position

To Apply
Please forward your resume immediately, click Apply now, or contact Lorraine Backhouse on 02 9346 5287 if you have any questions regarding these opportunities