Title: Claims Officer - Motorcycle Location: Melbourne Australia Full time Job Description: Primary Details Time Type: Full time Worker Type: Employee Providing delivery of superior claims service, determining proper policy coverage to conclude, investigate, evaluate and negotiate assigned cases Please see more information about QBE careers here Careers Location: Melbourne Type: 12-month contract Hybrid working available The opportunity We currently have an exciting opportunity for a Claims Officer to join our Melbourne-based Motorcycle team. This position will see you provide delivery of superior claims service, determining proper policy coverage to conclude, investigate, evaluate and negotiate assigned cases. About QBE We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to and benefit from: - 'Hybrid Working' - a mix of working from home and in the office to enhance your work/life balance - Free holistic wellbeing coaching, nutritional, confidential counselling, financial and legal advice - Life Leave, supporting the life events we all experience, leaving your annual leave for rest. Your new role - Management of lodgements through to total loss for Motorcycle Claims utilising multiple claims systems and processes - Maintaining positive stakeholder relationships with the insured, agents and service providers - Interpreting basic policy coverage and determining if coverage applies to claims submitted - Receiving, recording and processing incoming insurance claims - Authorizing payment within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements and - Identifying suspicious or potentially fraudulent claims and arranging investigations. About you - Previous experience in a similar role within Motor Claims is advantageous - Strong customer service skills with excellent communication, both written and verbal - Strong negotiation, organisational, and time management skills. - A quick learner who is comfortable with technology - While not essential, a passion for motorcycles would be a plus! Benefits We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to and benefit from: - 'Hybrid Working' - a mix of working from home and in the office to enhance your work/life balance - Free holistic wellbeing coaching, nutritional, confidential counselling, financial and legal advice - Life Leave, supporting the life events we all experience, leaving your annual leave for rest

Title: Social Insurance Specialist (Claims Specialist) (ICTAP) (Temporary) Location: - Washington, DC - Roxbury, MA - Boston, MA - Cambridge, MA - Salem, MA - Springfield, MA - Augusta, ME - Cherry Hill, NJ - Hackensack, NJ - Woodbridge, NJ - Albany, NY - Binghamton, NY - Greece, NY - New Rochelle, NY - Syracuse, NY - Bloomsburg, PA - Philadelphia, PA - Arecibo, PR - Hato Tejas, PR - Toa Alta, PR - Covington, VA - Danville, VA - Lynchburg, VA - Newport News, VA - Reston, VA - Richmond, VA - Wise, VA - Saint Croix, VI Job Description: Summary Interagency Career Transition Assistance Program (ICTAP) eligibles only in the commuting area of the selected duty location. LOCATION: This position is located in various Field Offices in the Social Security Adminstration. TOUR OF DUTY: Multiple work schedules.Up to 40 hours. TYPE OF POSITION: Temporary, NTE 1 year; may be extended. Will not become permanent. Summary Interagency Career Transition Assistance Program (ICTAP) eligibles only in the commuting area of the selected duty location. LOCATION: This position is located in various Field Offices in the Social Security Adminstration. TOUR OF DUTY: Multiple work schedules. Up to 40 hours. TYPE OF POSITION: Temporary, NTE 1 year; may be extended. Will not become permanent. Salary $74,678 - $114,413 per year Salary shown is GS-11 Rest of USA min. Salary to the highest locality pay. (See Additional Information Section for Locality pay information) Pay scale & grade GS 11 Locations Many vacancies in the following locations: Washington, DC Roxbury, MA Boston, MA Cambridge, MA Salem, MA Springfield, MA Augusta, ME Cherry Hill, NJ Hackensack, NJ Woodbridge, NJ Albany, NY Binghamton, NY Greece, NY New Rochelle, NY Syracuse, NY Bloomsburg, PA Philadelphia, PA Arecibo, PR Hato Tejas, PR Toa Alta, PR Covington, VA Danville, VA Lynchburg, VA Newport News, VA Reston, VA Richmond, VA Wise, VA Saint Croix, VI Remote job - No Telework eligible - Yes, as determined by the agency policy. Travel Required Not required Relocation expenses reimbursed No Appointment type Temporary - 1 year; May be extended - Will not become permanent Work schedule Multiple Schedules - Up to 40 hours a week Service Competitive Promotion potential None Job family (Series) - 0105 Social Insurance Administration Supervisory status: No Security clearance Not Required Drug test No Position sensitivity and risk Moderate Risk (MR) Trust determination process - Suitability/Fitness Financial disclosure: No Bargaining unit status: Yes Announcement number SSA-12965676-ICTAP-26-FO Control number 869827100 Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency APPLICATIONS WILL ONLY BE ACCEPTED FROM those eligible for Interagency Career Transition Assistance Program (ICTAP) in the commuting area of the listed duty location. Claims Specialists conduct interviews with the public to obtain, clarify, and verify information about initial and continuing eligibility for retirement, survivors, disability, health insurance benefits, and eligibility for supplemental security income including State supplements. In addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. Requirements Help Conditions of employment - Proof of ICTAP eligibility required - U.S. Citizenship required - Selective Service Registration, if applicable (www.sss.gov) - Background and/or security investigation required - Job offers are contingent on background / security investigation results - All qualification requirements must be met by the closing date of the announcement Qualifications Applicants must have 52 weeks of specialized experience at the GS-9 level or equivalent, which is in or related to the work of the position to be filled and has equipped applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. Examples of specialized experience include developing, examining, investigating or authorizing of claims under a program for SSA benefits, health insurance, pension plan, income maintenance or related programs. The following time-in-grade requirement must be met by the closing date of this announcement. Applicants must have 52 weeks at the GS-9 or higher. SELECTIVE PLACEMENT FACTOR: COMPETENCY ASSESSMENT INTERVIEW PROCESS (CAIP) INTERVIEW - Applicants will be required to participate in a panel interview (after basic eligibility determination) to demonstrate an aptitude for meeting and dealing with the public. Applicants must pass this interview process in order to be found fully qualified for this position and receive further consideration for selection. This interview will cover typical situations, which might be encountered on the job, in person or over the telephone. Applicants must demonstrate qualities such as clarity of speech, ability to listen, ability to establish confidence and put others at ease and the ability to organize and express thoughts clearly. If you do not pass the CAIP interview, you will not qualify for the job. Panel interviews may be conducted via video conferencing software, if technically feasible. NOTE: Previous Meet and Deal results are not valid for this vacancy announcement; you will be required to complete the CAIP assessment. Education PROOF OF EDUCATION: If you are qualifying on the basis of education or satisfying an educational requirement, submit a copy of your transcripts that includes your name, the name of the educational institution, course title(s), number of credits, grade, and date of completion. Unofficial transcripts or screenshots of electronic/web transcripts with the required information will be accepted at the time of application. You must submit your transcripts according to the application submission details of this announcement. Documents will not be accepted via email or regular mail. If selected, you may be required to provide your official college transcripts prior to the effective date of the personnel action placing you into the new position. GS-11: Ph.D. or equivalent doctoral degree, or successful completion of three full years of progressively higher level graduate education leading to a Ph.D. or equivalent degree, or LL.M. Combining Education and Experience: GS-11: Experience and graduate level education beyond the second year may be combined to meet the minimum qualification requirement. Note: One year of full-time graduate education is considered to be the number of credit hours that the school you attended has determined to represent one year of study. If this information is not provided, we will consider 18 semester/27 quarter hours to be equal to one year of full-time graduate study. Experience and education will be computed as percentages of the overall requirements and must equal to 100 percent when combined. Additional information In addition to the minimum qualifications, applicants must be eligible under the following category: - Displaced or surplus Federal employees eligible under the Interagency Career Transition Assistance Plan (ICTAP) who have held a GS-11 or above, and in the commuting area of the listed duty locations. In addition to meeting the basic eligibility criteria, ICTAP applicants must be well qualified for the position. Well-qualified is defined as having knowledge, skills, and abilities that clearly exceed the minimum qualification requirements for the position. Under numeric rating procedures, qualified ICTAP applicants must receive a rating of 85 or higher to be eligible for selection. This is not a career-ladder position; GS-11 is the full performance level. This is a bargaining unit position represented by the American Federation of Government Employees. Selective Service: If you are a male applicant born after December 31, 1959, you must certify that you have registered with the Selective Service System, or are exempt from having to do so under the Selective Service Law. See www.sss.gov. Additional selections may be made for this vacancy six months from the closing date of this announcement. LOCALITY PAY: Salary will be set in accordance with locality pay provisions. Refer to Salaries & Wages for locality pay tables. Expand Hide additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How you will be evaluated You will be evaluated for this job based on how well you meet the qualifications above. The evaluation you receive is based on your responses to the questionnaire. Your resume and supporting documentation will be compared to your responses to the occupation questionnaire, which is designed to capture the desired competencies for this position. The following knowledge, skills, and abilities are necessary to perform the duties of this position: - Knowledge of principles, objectives, policies and procedures of a benefits entitlement programs - Ability to research, interpret and apply standards, directives, policies and legislation. - Ability to communicate orally. - Ability to communicate in writing. - Skill in using online technology and automation tools. - Ability to manage multiple priorities and balance workloads. Please make sure you answer all questions and follow all instructions carefully. Errors or omissions may affect your evaluation. The questionnaire takes approximately 15 minutes to complete. To preview the questions, click the following link: https://apply.usastaffing.gov/ViewQuestionnaire/12965676 Benefits A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. Required documents Resumes exceeding two pages in length will not be considered, please visit the new resume guidance for more information. You must submit supporting documentation by the closing date of the vacancy announcement to claim certain types of preference or qualify on the basis of education. INTERAGENCY CAREER TRANSITION ASSISTANCE PLAN (ICTAP): ICTAP provides eligible displaced Federal competitive service employees with selection priority for competitive service vacancies. To receive selection priority, candidates must meet the requirements for the Well Qualified category as described in the vacancy announcement. Candidates must also provide: - proof of eligibility with your application. Such proof may include a copy of your written notification of ICTAP eligibility or a copy of your separation Notice of Personnel Action, (SF-50); and - proof of your most recent performance rating of at least "fully successful" (Level III) or equivalent. For more information visit http://www.opm.gov/rif/employee_guides/career_transition.asp. PROOF OF EDUCATION: If you are qualifying on the basis of education or satisfying an educational requirement, submit a copy of your transcripts that includes your name, the name of the educational institution, course title(s), number of credits, grade, and date of completion. Unofficial transcripts or screenshots of electronic/web transcripts with the required information will be accepted at the time of application. You must submit your transcripts according to the application submission details of this announcement. Documents will not be accepted via email or regular mail. If selected, you may be required to provide your official college transcripts prior to the effective date of the personnel action placing you into the new position. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

• Review, analyze and process claims, adjustments, coordination of benefits and refunds on routine life or health claims • Accurate entry of codes and data to applicable system • Respond to general inquiries by agents, policyholders, and providers concerning policy coverage and other related information

Role Description The Credentialing Specialist will be responsible for timely submission and follow-up for institutional and individual provider credentialing, contracting, and re-credentialing with health insurance payors across multiple states and service lines. Assists in verifying and monitoring credentials of healthcare providers and completing facility applications as needed. Maintains confidential files of providers records to meet company and compliance standards. This position requires communication with physicians, outside payors and facilities, and in-house departments such as billing and scheduling. Essential Duties & Responsibilities - Prepare and submit credentialing applications and supporting documentation for the purpose of enrolling groups and providers with Commercial, Medicare, and Medicaid networks. - Follow up on the status of applications for providers with payers, tracking progression of pending and completed work. - Maintains accurate and up-to-date database of information including provider credentials and payer statuses. - Works closely with internal teams to communicate approvals and work through denials as necessary. - Maintains knowledge of current payer requirements across multiple states and service lines. - Maintain strict level of confidentiality and HIPAA compliance. - Familiarity with state licensing requirements and provider onboarding tasks. - Familiarity with various payer portals and CAQH. - Contact providers and payers, by phone or email, for updates and/or to request missing information. - Ensure group and provider information is current/accurate with health insurance payers. - Assist with facility credentialing applications as needed. Qualifications - Minimum two years of health insurance credentialing experience preferred. - Prior data management/data integrity experience preferred. - Associates degree preferred. - Proficient with Microsoft Office, including Excel, Word, and Outlook. - Excellent organization and communication skills. - Quick thinking, positive, and professional, with demonstrated problem solving, attention to detail, and critical thinking skills. - Ability to work independently, set priorities, and meet deadlines. - Adapt to changes in work environment, manage competing demands and deal with frequent change, delays, or unexpected events. - Able to work in a team environment. Requirements - Work is performed in a normal office setting in our Overland Park, KS headquarters with minimal exposure to health or safety hazards. - Substantial time is spent working on a computer. - This is a full-time position working standard business hours Monday – Friday, although project support may require temporary adjustments to those hours only as needed. Benefits - PTO and Paid Holidays for FT Employees. - 401k Retirement Plan with Company Match. - Insurance programs including medical, dental, vision, company match for your HSA, FSA, company-paid EAP, and life and disability insurance, and more.