Healthcare Integrity & Assurance, Principal

AIA Australia

Not specified (assumed office-based or hybrid if not indicated).
6-10 years experience in insurance claims
Strong analytical and reporting capabilities
Advanced excel proficiency
AIA Australia is seeking a Principal for their Healthcare Integrity & Assurance team to lead reporting, audit consistency, and oversight of healthcare claims integrity. The ideal candidate should have extensive experience in insurance claims, audit, compliance, or fraud investigation, along with strong analytical and reporting skills

Job Summary

  • The role involves leading the preparation and consolidation of reporting across the Healthcare Integrity & Assurance function including QA audit performance and financial impact reporting.
  • Candidates will support the development and consistent application of audit review methodologies while tracking key findings and recommendations from QA and MCAT reviews.
  • The position requires translating audit data into concise management narratives to support senior leadership understanding of integrity risks.

Matching Summary

Match Score: 85

AIA Australia is seeking a Principal for their Healthcare Integrity & Assurance team to lead reporting, audit consistency, and oversight of healthcare claims integrity. The ideal candidate should have extensive experience in insurance claims, audit, compliance, or fraud investigation, along with strong analytical and reporting skills.

Skills & Requirements

Must-have

  • 6-10 years experience in insurance claims
  • Strong analytical and reporting capabilities
  • Advanced Excel proficiency

Nice-to-have

  • Familiarity with Power BI or data visualization tools
  • Experience in fraud detection or integrity oversight
  • Strong organizational and stakeholder management skills

Key Requirements

  • Bachelor's degree in Finance, Healthcare, Business, or related field
  • 6–10 years of experience in insurance claims, audit, compliance, or fraud investigation
  • Experience in claims audit, fraud detection, or integrity oversight preferred

Work Rights

Not specified

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