• Outcome Claims Officer – OMU

    Job Locations AU-QLD-Springwood
    Posted Date 4 weeks ago(20/12/2018 7:15 PM)
    Requisition ID
    # of Openings
    Job Function
    Job Schedule
    Permanent Full-Time
  • Project/Position Introduction

    MAX Solutions is committed to improving the lives of others. Providing employment, health, training and humanitarian services in more than 250 locations around Australia, MAX Solutions invests strongly in the development of our people. We foster strong relationships between staff, clients and the community and are driven to make a difference.


    Position Overview


    The primary function of the Outcome Claims Officer is to provide expert advice and direction in relation to capturing and processing Outcome claims. Outcome Claims Officer will be responsible for leading the development of strategies and business practices to maximise Outcome claims for the business. You will work closely with designated Region/Regions to assist improving star rating performance driven by Outcome activity.


    As an Outcome Claims Officer, you will function as a disciplined expert in your field (Centralised Claims Processing) and will assist the organisation to develop and maintain best practices for Outcome claims processing.



    Key Responsibilities


    • Utilises all tools available to guide and support designated regions to maximise Outcome claim opportunities
    • Have a hands on approach to seek, support and deliver on available Outcome opportunities
    • Provide Outcomes Help Desk support for jobactive, Disability Employment Services and Community Development Programme
    • Deliver expert advice on claims processing to relevant Site team members
    • Provide coaching and development to Site team members in relation to Outcome and system requirements with the view to assisting improve the understanding of key compliance requirements
    • Effectively communicate changes in claims processing practices and procedures to the relevant Site team members
    • Evaluation and scrutiny of Outcome claims and Job Placement claims, for jobactive, Disability Employment Services and Community Development Programme
    • Ensuring all documentary evidence and guideline requirements are met for all Outcome claims and Job Placement claims lodged, therefore contributing to the overall billing integrity for our organisation
    • Takes the initiative to keep informed of any new and upcoming changes to Departmental contracts
    • Develops strategies to maximise Outcome claims through consultation with key operational stakeholders
    • Seeks out and acts on feedback from the greater business in relation to improvements that can be made within the centralised claiming function
    • Collection of evidence, administration and support to internal audit, Departmental Monitoring visit and Program Assurance activities
    • Contribution to Quality Assurance functions and the overall quality framework
    • Ensuring all deadlines are met in relation to End of Month/Quarter and Star Ratings Milestones
    • This role involves a detailed knowledge of Outcome and Job Placement requirements within our various contracts
    • Participating in professional development and training as required
    • Other duties as required
    • Comply with all WHS procedures ensuring that team members including volunteers and contractors abide by all relevant health and safety procedures
    • Act as a role model by demonstrating safe work behaviours and report all accidents, incidents or near misses immediately.

    The Ideal Candidate will Possess the Following Additional Education and Experience

    Personal Attributes


    • Reliable, responsible and highly professional in all aspects
    • Strong attention to detail
    • Ability to develop strong working relationships with key stakeholders
    • Flexibility to changing priorities and working quickly, effectively and autonomously under challenging time demands
    • Outcome focussed and goal orientated
    • Ability to interpret and apply Deed and associated Guidelines.



    Key Skills


    • Exceptional communication (oral & written), negotiation and interpersonal skills
    • Excellent organisational and analytical skills
    • Effective positive problem solving and conflict resolution skills
    • Computer skills – Advanced Word, Excel, Internet & email
    • Ability to adapt to using diverse computer systems quickly.


    Required Experience


    • Administration and related experience in quality systems and their delivery
    • Employment Services industry and practical experience, including ESS web system or equivalent, with demonstration of the above mentioned key skills and personal attributes preferred.




    • No formal qualifications are required.

    EEO Statement

    At MAX Solutions we welcome employees from diverse backgrounds and aim to create a work environment where Employee differences such as gender, age, culture, disability and religion are valued.

    MAX Solutions applies the principles of reasonable adjustment for people with disability. Workplace adjustments are changes introduced into the workplace that take account of a person’s disability so that they can use their skills effectively and access the same benefits, terms or conditions of employment as other employees. If you are a candidate considering a role with MAX Solutions and require a workplace adjustment for this position, please advise the MAX Solutions Recruitment Consultant or contact MAX Solutions Recruitment on 07 3727 1306.


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