Claims and Quality Support Officer

Allianz
Brisbane
Workplace: HybridContractFunction: Quality & Regulatory (Non-Software)Skills: ["Attention to detail","Analytical thinking","Problem-solving","Communication","Continuous improvement"]

Review and audit health and medical claims processing to ensure decisions meet policies, quality standards, and regulatory requirements. Provide clear feedback to Claims Agents, support internal and external audit needs, and monitor compliance. Identify quality trends and opportunities for process improvement while contributing to initiatives that enhance operational efficiency and customer outcomes. Help teams adopt evolving digital tools, reporting capabilities, and quality frameworks in a hybrid, healthcare-insurance environment.

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FursaFursa
Allianz
Allianz
2 days ago

Claims and Quality Support Officer

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Source: Company careers pageValidated by: Fursa AI
Last checked: 7 hours agoStatus: Live

Job Summary

Review and audit health and medical claims processing to ensure decisions meet policies, quality standards, and regulatory requirements. Provide clear feedback to Claims Agents, support internal and external audit needs, and monitor compliance. Identify quality trends and opportunities for process improvement while contributing to initiatives that enhance operational efficiency and customer outcomes. Help teams adopt evolving digital tools, reporting capabilities, and quality frameworks in a hybrid, healthcare-insurance environment.
Location: Brisbane
Workplace: Hybrid
Employment Type: Contract
Job Function: Quality & Regulatory (Non-Software)

Key Responsibilities

  • •Conduct quality reviews and audits of medical claims processing and adjudication activities.
  • •Assess claims decisions against policies, procedures, quality standards, and regulatory requirements.
  • •Provide clear, constructive feedback to Claims Agents to support quality and performance outcomes.
  • •Support internal and external audit requirements and ensure ongoing compliance with regulatory obligations.
  • •Identify quality trends, risks, and opportunities for process improvement, supporting adoption of evolving digital tools and quality frameworks.

Key Requirements

  • •Experience in a customer-focused environment, ideally in health insurance, medical claims, quality assurance, audit, or compliance roles.
  • •Strong knowledge of medical claims processes and adjudication practices.
  • •Exceptional attention to detail with a commitment to quality outcomes.
  • •Strong analytical and problem-solving skills to identify patterns and improvement opportunities.
  • •Excellent written and verbal communication skills, with comfort using digital systems and adapting to new technologies.
Experience:HealthcareInsurance
Skills:Attention to detailAnalytical thinkingProblem-solvingCommunicationContinuous improvement
Tech Stack:Microsoft Office

Company Brief

Allianz
Global insurance and financial services group offering property-casualty insurance, life and health insurance, asset management, and corporate risk solutions to individuals, businesses, and institutions across more than 70 countries.
Industry: Insurance
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: Munich, Germany
Founded: 1890
WebsiteLinkedIn