Claims & Recoveries Officer Job at Carbiz Rentals (Mascot)

Claims & Recoveries Officer

NDRA (National Debt Recovery Agency), is seeking a motivated and enthusiastic Cl...

Location

Australia , Mascot

Salary:

60000.00 - 65000.00 AUD / Year

Carbiz Rentals

Expiration Date

Until further notice

Requirements

Previous experience in customer service or sales (desirable but not essential)
Experience in debt recovery, claims management, insurance, or a related field (highly regarded but not essential)
Confident communicator with strong phone-based negotiation skills
Tech-savvy with solid administrative and computer skills
High attention to detail and strong organisational ability
Professional, resilient, and empathetic approach
Able to work independently while contributing to a collaborative team environment

Job Responsibility

Managing a portfolio of matters from initiation through to resolution
Liaising with external clients, including rental companies and smash/collision repairers, to obtain documentation, provide updates, and manage expectations
Managing inbound and outbound calls with insurers, customers, and third parties to gather information and progress matters
Negotiating settlements with insurers and third parties to achieve commercially sound outcomes
Overseeing and reconciling a ledger of repair, assessing, towing, and credit hire rental invoices
Collaborating and communicating effectively with internal departments to ensure smooth progression

What we offer

Ongoing training and structured support
Exposure to complex recovery and litigation processes
Clear performance pathways aligned to progression opportunities
The opportunity to contribute to process improvements and operational strategy
Career Development - Ongoing training and progression opportunities
Collaborative Culture - Supportive, high-performing team environment
Convenient Location - Mascot office close to public transport
Team Celebrations - Monthly lunches and milestone events
Employee Wellbeing Program - 24/7 access to confidential wellbeing support
Exclusive Discounts - Access to benefits via SWAG/Employment Hero and Flare

Fulltime

New

EDI Technical Analyst (Claims)

Develops technical documentation, designs, analyzes, tests, provides end user su...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

1 year of college-level coursework in system requirements design and interpretation and/or support of production systems (Level 1)
3 years of experience in computer technology and/or information systems (Level 2 – 4)
2 years of experience in data analysis, data management and integration, extracting and analysis reporting. (Level 2-4)
2 years of EDI experience (Level 1)
High-School Diploma or GED in general field of study (All Levels)
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Intermediate PC proficiency
Intermediate proficiency in spreadsheet, database, flow charting, and word processing software
Intermediate knowledge of data mapping techniques and data analysis software
Intermediate knowledge of computer operating systems

Job Responsibility

Track and resolve basic or routine processing problems, coordinating with all areas
Research, analyze, track and resolve basic production problems
Develop business objectives, processing requirements, and technical specifications
Analyze files and map data from one system to another
Responsible for production cycles, solving production incidents and notification of problems
Write SQL queries needed for production support
Ability to query Splunk and App insight for logging results
Develop basic test data
Process test files and analyze test results
Create test files

Fulltime

Global Injury & Claim Coordinator

The Global Injury & Claim Coordinator leads, coordinates, and advances Baxter’s ...

Location

United States , Deerfield

Salary:

80000.00 - 110000.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

Bachelor's degree in Nursing (BSN) required
Minimum of 5+ years of experience in Occupational Health Nursing, Workers Compensation case management, or clinical injury management
Registered Nurse (RN) – US Compact, active and unrestricted license required
Ability to obtain RN license for IL, NY, CA, MN within 6 months months of employment
Occupational Health Nursing certification preferred (COHN, COHN-S)
Certified Case Manager (CCM) preferred
Demonstrated expertise in complex workers compensation claim management across multiple jurisdictions
Experience collaborating with TPAs, insurers, medical providers, and legal partners
Strong ability to interpret claims, medical, and absence data
Experience supporting self-insured or large multinational employers

Job Responsibility

Manages and oversees complex workers’ compensation and injury management cases across Baxter’s United States and global jurisdictions
Provides expert clinical guidance and oversight for complex, high risk, and litigated workers’ compensation cases impacting Baxter employees globally
Coordinates medical management activities and return to work accommodations in partnership with Baxter facilities, medical providers, and regional stakeholders
Ensures Baxter’s injury and claim management practices comply with applicable global workers’ compensation, occupational health, and regulatory requirements, as well as internal Baxter standards
Leads the development and enhancement of Baxter’s global injury management, early intervention, and return to work programs
Serves as Baxter’s primary clinical and operational liaison with third party administrators, insurers, occupational health vendors, and international claims partners across supported regions
Analyzes global claim, injury, and return to work data to identify trends, risks, and improvement opportunities and uses insights to drive operational excellence at Baxter
Provides actionable insights from claims and medical data to support hazard reduction and risk mitigation efforts
Identifies systemic injury, claim, or return to work risks and partners with EHS and Operations to inform upstream prevention strategies
Standardizes Baxter’s care management and injury management processes to ensure consistent service delivery and outcomes across geographic regions

What we offer

medical and dental coverage that start on day one
insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
Flexible Spending Accounts
educational assistance programs
time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service
family and medical leaves of absence
paid parental leave
commuting benefits

Fulltime

Physician Liaison

We are looking for a relationship-driven Physician Liaison to support referral g...

Location

United States , Sacramento

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in outside sales, physician outreach, healthcare marketing, or referral development is required
Background working with first-party and third-party auto insurance claims is strongly preferred
Familiarity with referral intake, care coordination, or injury-related healthcare workflows is preferred
Understanding of specialty treatment pathways such as interventional pain, orthopedics, spine care, or neurology is preferred
Strong customer service and relationship-building skills with the ability to earn trust across legal, clinical, and administrative contacts
Ability to explain specialty care processes to non-clinical audiences in a confident and accessible way
Proficiency with business and communication tools such as CRM platforms, Microsoft Office, EHR systems, and phone-based outreach technology
Excellent organizational and time-management skills with the ability to manage a territory and respond effectively to time-sensitive needs

Job Responsibility

Develop and sustain productive partnerships with urgent care centers, emergency departments, physician practices, and other referral sources involved in injury-related care
Present the organization's specialty services, diagnostic resources, and care coordination capabilities in a clear and thorough manner to referral partners
Support compliant referral flow between external partners and specialty physicians to help patients move through evaluation and treatment without unnecessary delays
Recognize obstacles that may slow access to care and work with appropriate teams to address operational issues affecting referral progression
Gather and share feedback from referral sources to highlight service needs, relationship trends, and opportunities for improvement
Work closely with internal leaders and provider teams to improve alignment between community referral accounts and specialty care services
Represent the organization at industry gatherings, local networking opportunities, and industry events to strengthen market presence and community relationships
Contribute to efforts that improve continuity of care from the initial referral through treatment completion and recovery support

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) plan

Fulltime

New

Analyst, Special Investigative Unit

The Investigator role will conduct high level, investigations of known or suspec...

Location

United States , Baton Rouge

Salary:

43888.00 - 76500.00 USD / Year

CVS Health

Expiration Date

June 25, 2026

Requirements

State residency required
must reside in Louisiana
3+ years investigative experience in healthcare fraud and abuse matters
Working knowledge of medical coding
CPT, HCPCS, ICD10
Proficient in Microsoft Office with advanced skills in Excel (pivot tables are a must, etc.)
Strong analytical ability to view and slice claims data in multiple facets
Self-starter: initiates research that will be vital to an investigation
Proficient in researching information and identifying new resources helpful to all cases
Strong verbal and written communication skills (using correct grammar, spelling, sentence structure, etc.)

Job Responsibility

Conduct state specific investigations for Louisiana for program integrity to prevent payment of aberrant claims submitted to the Medicaid lines of business for payment
Conduct thorough research on subject(s) and related entities
Initiate independently proactive data mining using SIU Tools to identify aberrant billing patterns and early scheme detection
Conduct extensive analysis of claims data to determine aberrancy, pattern, or scheme
Research and prepare cases for both clinical and legal review
Collaborate with Medical Directors on clinical issues and medical record questions
Accurately documents all case activity and communications in designated case tracking system
Communicate clinical findings to provider
Adherence to all regulatory requirements
Facilitate case outcomes for the recovery of company and customer monies lost from aberrant billing

What we offer

medical
dental
vision coverage
paid time off
retirement savings options
wellness programs
other resources
CVS Health bonus, commission or short-term incentive program

Fulltime

New

Senior Investigator

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Lansing

Salary:

46988.00 - 102000.00 USD / Year

CVS Health

Expiration Date

June 25, 2026

Requirements

5+ years investigative experience in healthcare fraud and abuse matters
Working knowledge of medical coding
CPT, HCPCS, ICD10
Proficient in Microsoft Office with advanced skills in Excel (pivot tables are a must, etc.)
Strong analytical ability to view and slice claims data in multiple facets
Self-starter: initiates research that will be vital to an investigation
Proficient in researching information and identifying new resources helpful to all cases
Strong verbal and written communication skills (using correct grammar, spelling, sentence structure, etc.)
Ability to travel up to 10% (approx. 2-3x per year, depending on business needs)
Bachelor's degree or equivalent experience (5+ years of working health care fraud, waste and abuse investigations)

Job Responsibility

Investigate matters of program integrity to prevent payment of aberrant claims submitted to the Medicaid lines of business for payment
Conduct thorough research on subject(s) and related entities
Initiate independently proactive data mining using SIU Tools to identify aberrant billing patterns and early scheme detection
Conduct extensive analysis of claims data to determine aberrancy, pattern, or scheme
Research and prepare cases for both clinical and legal review
Collaborate with Medical Directors on clinical issues and medical record questions
Accurately documents all case activity and communications in designated case tracking system
Communicate clinical findings to provider
Adherence to all regulatory requirements
Facilitate case outcomes for the recovery of company and customer monies lost from aberrant billing

What we offer

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources

Fulltime

Medical Collections Specialist

We are looking for a detail-oriented Medical Collections Specialist to support r...

Location

United States , Henrico

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in medical collections within a healthcare or medical office environment
Working knowledge of medical billing processes, insurance claim follow-up, and reimbursement practices
Ability to manage denied claims and prepare effective medical appeals based on payer requirements
Familiarity with medical insurance guidelines, coverage verification, and payment resolution procedures
Proficiency in using eClinicalWorks or a comparable electronic medical records and practice management system
Strong attention to detail with the ability to maintain accurate account documentation and records
Effective communication and organizational skills for handling multiple accounts and payer interactions efficiently

Job Responsibility

Pursue outstanding insurance and patient accounts by conducting timely follow-up and documenting all collection activity accurately
Investigate unpaid or underpaid claims to identify billing discrepancies, denial causes, and reimbursement obstacles
Prepare and submit claim reconsiderations and appeals with supporting documentation to maximize payment recovery
Work closely with billing and internal revenue cycle teams to correct account issues and move claims toward resolution
Review insurance responses, payment postings, and account histories to determine next steps for collection efforts
Maintain accurate records in eClinicalWorks and ensure account notes reflect current status and actions taken
Communicate professionally with payers, patients, and internal stakeholders regarding balances, claim status, and account resolution
Monitor aging reports and prioritize accounts that require immediate follow-up to reduce outstanding receivables

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan

Fulltime

Regional Vice President, Business Development

The Regional Vice President, Business Development drives revenue growth by expan...

Location

United States , Parsippany

Salary:

Not provided

HARTZ Search

Expiration Date

Until further notice

Requirements

Bachelor's degree from an accredited university preferred
7+ years' experience in Sales
Demonstrated success selling RCM solutions such as billing, coding, claims management, denial management, AR recovery, patient financial services, or healthcare SaaS platforms
Proven track record of meeting or exceeding revenue quotas and closing complex, enterprise-level healthcare contracts
Strong understanding of healthcare reimbursement models, payer requirements, regulatory compliance, and the end-to-end revenue cycle
Experience working with hospitals, health systems, physician groups, or large healthcare organizations
Skilled in consultative and solution-based selling to C-suite and executive stakeholders (CFO, VP Revenue Cycle, RCM leadership)
Proficiency with CRM tools such as Salesforce and pipeline forecasting
Excellent negotiation, presentation, and relationship-building skills
Proficiency in Microsoft Office Suite

Job Responsibility

Identify and develop new business opportunities within hospitals, health systems, and healthcare organizations to support revenue cycle management solutions
Qualify target accounts by assessing revenue cycle needs including billing, coding, claims management, denial prevention, reimbursement optimization, AR performance, and compliance
Initiate and lead the consultative sales process by scheduling meetings, delivering tailored presentations, and aligning solutions to client financial and operational goals
Build and maintain an accurate sales pipeline and detailed activity tracking within Salesforce
Close sales by establishing strong executive relationships, articulating value propositions, overcoming objections, and negotiating contracts
Partner with operations and implementation teams to ensure a seamless transition from sale to onboarding and successful deployment of RCM services
Expand existing client relationships by identifying opportunities to enhance revenue cycle performance through additional services, technology, or process improvements
Monitor healthcare industry trends, regulatory changes, payer dynamics, and competitive offerings to inform go-to-market strategy
Provide market feedback to leadership to support development of new RCM products, services, and solutions
Represent the organization at healthcare and revenue cycle industry events, conferences, and networking opportunities

Fulltime

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Claims & Recoveries Officer

Job Description

Job Responsibility

Requirements

Nice to have

What we offer

Looking for more opportunities?

Claims & Recoveries Officer

Claims & Recoveries Officer

EDI Technical Analyst (Claims)

Global Injury & Claim Coordinator

Physician Liaison

Analyst, Special Investigative Unit

Senior Investigator

Medical Collections Specialist

Regional Vice President, Business Development

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