**
AIA Australia is seeking a Specialist Management professional to combat fraud, waste, and abuse within its healthcare insurance sector. The ideal candidate will possess relevant healthcare expertise, strong analytical skills, and effective communication abilities to support various initiatives aimed at improving claims processing and cost containment.
**
Job Summary
The role is responsible for detecting Fraud, Waste and Abuse while conducting analysis with proper cost containment measures.
Candidates must be well-versed in medical coding, the 13th Schedule, MOH letters, and reasonable and customary charges to ensure claim adjudication compliance.
The position involves building guides, initiatives, and alignment of claims practices related to cost savings and quality claims processing.
Matching Summary
Match Score: 75
**
AIA Australia is seeking a Specialist Management professional to combat fraud, waste, and abuse within its healthcare insurance sector. The ideal candidate will possess relevant healthcare expertise, strong analytical skills, and effective communication abilities to support various initiatives aimed at improving claims processing and cost containment.
**