Medibank Private Limited logo
Medibank Private Limited

At Medibank, we’ve recently unified our health services under one brand – Amplar Health. With over 1000 employees, our focus is on improving healthcare experiences and championing greater access, choice, and control for people in Australia when it comes to managing their health. We’re committed to a workplace where everyone feels safe, supported, and free to be themselves. By embracing diverse perspectives, we challenge the status quo and uncover better ideas. We welcome and encourage applications from people of all backgrounds, identities and lived experiences, including Aboriginal and Torres Strait Islander peoples, people from culturally and linguistically diverse backgrounds, LGBTQIA+ communities, people with disability, neurodivergent people, and carers. Our employee networks create space for connection, advocacy and allyship. We offer flexible ways of working to support inclusion, accessibility and wellbeing.

Specialist General Practitioner / Specialist Physician

Claims SpecialistClaims SpecialistFull TimeRemoteMid LevelTeam 1,001-5,000

Location

SA + 1 moreAll locations: SA | Australia

Posted

23 days ago

Salary

0

Seniority

Mid Level

Professional Certificate

Job Description

Specialist General Practitioner / Specialist Physician

Medibank Private Limited

Role Description Are you an experienced and skilled Specialist General Practitioner with FRACGP/FACRRM, or do you hold other specialist physician qualifications such as FRACP? Are you interested in potentially being part of the My Home Hospital (MyHH) team-leading innovation in virtual acute hospital care in the home? As a casual Medical Officer, you will be at the forefront of our virtual care delivery model, working from home and managing acute patients remotely, whilst being supported by a highly skilled and experienced medical, paramedic, nursing, pharmacy, administration, courier and allied health team. Be part of a clinician-led environment where we value your expertise, well-being and professional voice. Contribute to virtual health initiatives by: - Exercising your experience in the clinical diagnosis, investigation, treatment, and ongoing management of acute conditions. - Managing in the home acute presentations in the home of conditions such as but not limited to, cellulitis, community acquired pneumonia; infective exacerbation of COPD, VTE/PE, cardiac failure, and complicated UTI. - Collaborating with a broad multi-disciplinary team to support holistic patient centred care. - Access to professional development and mentoring. Qualifications - Full unrestricted AHPRA specialist registration as a medical practitioner. - At least 5 years’ experience in your area of specialty. Requirements - Ability to apply theoretical knowledge and practical experience to determine the appropriate clinical diagnosis, investigations, and treatment of patients with acute conditions, in line with clinical risk and compliance frameworks (local guidelines and pathways provided). - Confidence in providing virtual care and in reviewing biometric data trends to assist with early identification of deterioration. - Excellent communication skills within multi-disciplinary teams. - High level digital proficiency; being comfortable using and learning various tools, software and systems. - High level of professionalism, with the ability to relate well with people of all interests, backgrounds and abilities. - Commitment to delivering exemplary care to our patients. - Passionate about equity of outcomes and care of vulnerable people. - Hold a South Australian Working with Children Check and National Police Clearance (or are willing and eligible to obtain). Benefits - Participate in a 7-day rolling roster, working casual 8-hour shifts, that you opt into, between the hours of 8am and midnight. - No minimum number of shifts required to start. Company Description Amplar Health Home Hospital is a national organisation that delivers a diverse range of innovative health programs and virtual care services to patients across Australia, providing safe, high-quality care outside traditional hospital settings. To date, our programs have supported thousands of patients, reducing pressure on emergency departments and inpatient services while improving patient outcomes and experience. We also continue to expand and refine models of care that leverage technology and clinical expertise to meet the evolving needs of the patient and the health care system.

Related Categories

Related Job Pages

More Claims Specialist Jobs

ContractRemoteTeam 51-200H1B No Sponsor

• Explain coverage of loss and applicable policy provisions to policyholders. • Provide consistent claim follow-up with adjusting firms and policyholders to set expectations on the claims process. • Investigate, evaluate, and settle claims within designated authority level. • Follow internal best practices while applying policy language, FEMA rules, and regulations. • Have the ability to deliver results in a fast-paced environment required. • Responsible for communicating with Public Adjusters and Attorneys regarding complex claims and coverage situations. • Reviewing estimates up to $1m, reviewing complex commercial claims, and contents inventories.

Kansas
ASAAS logo

Junior Claims Analyst

ASAAS

Simplificamos o recebimento de cobranças para pessoa física, MEIs e grandes empresas.

Full TimeRemoteTeam 501-1,000Since 2010H1B No Sponsor

• Provide prompt support to our customer base via e-mail, phone and WhatsApp, always focused on delivering the best possible experience; • Track and organize claims requests in our systems, keeping everything clear and up to date; • Contribute to company metrics management by preparing reports, analyses and projections; • Liaise with insurers, regulators and partners; • Support the operations team’s processes, ensuring smooth and efficient workflows; • Work collaboratively with internal areas to promote technical and institutional alignment; • Perform technical and analytical reviews of claims regulation processes;

Brazil
Job Closed
Full TimeRemoteTeam 10,001+H1B Sponsor

• To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. • Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. • Responsible for litigation process on litigated claims. • Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. • Reports large claims to excess carrier(s). • Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. • Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. • Communicates claim action/processing with insured, client, and agent or broker when appropriate. • Performs other duties as assigned. Supports the organization's quality program(s). • Travels as required.

South Carolina
Providence logo

Senior Claims Specialist – Insurance Follow-Up

Providence

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas, and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Full TimeRemoteTeam 10,001+Since 1856H1B Sponsor

• Follow up on insurance denials and aged claims • Submit claims to secondary payers and ensure accurate billing information • Answer all information requests from payers and trace claims • Re-submit claims to government agencies and submit claims appeals with supporting documentation

Washington
$26 - $40 / hour
Job Closed