Senior SIL Claims & Payment Integrity Manager

Full-Time | Hybrid / Remote

About Resolv

Resolv partners with Supported Independent Living (SIL) providers across Australia to strengthen compliance, improve payment integrity and optimise operational performance within an increasingly complex NDIS environment.

Specialising in SIL funding, claiming, compliant rostering and operational optimisation, we help providers navigate the complexity of the NDIS while improving both participant outcomes and organisational sustainability.

In 2026, Resolv is on track to deliver more than $20 million in financial improvements for leading NDIS providers across Australia. Due to continued growth, we are seeking an experienced Senior SIL Claims & Payment Integrity Manager to join our specialist team.

About the Role

This is not a traditional administration or finance position.

We're looking for someone with extensive experience in Supported Independent Living claiming who understands how participant funding, Schedule of Supports, rosters and service delivery translate into accurate and compliant NDIS claims.

A significant part of the role involves reviewing and preparing SIL claims, investigating rejected claims, resolving complex claiming issues within the NDIS Portal/PACE, and working closely with providers and stakeholders to ensure claims are submitted accurately and efficiently.

Beyond technical expertise, we're looking for someone who enjoys challenging existing processes and identifying better ways of doing things. You'll play an important role in strengthening payment integrity, improving operational efficiency, and helping shape best practice across our business and the providers we support.

This is an opportunity to become a recognised subject matter expert within one of Australia's leading SIL operational consulting businesses.

Key Responsibilities

Review, prepare and oversee SIL claiming across multiple providers.

Investigate, troubleshoot and resolve rejected claims within the NDIS Portal/PACE.

Validate claims against participant funding,



Schedule of Supports, rosters and service delivery.

Ensure claims comply with current NDIS Pricing Arrangements and operational requirements.

Perform reconciliations, adjustments and claim reviews.

Liaise with providers, Support Coordinators, Plan Managers and other stakeholders to resolve claiming and funding enquiries.

Review Schedule of Supports and participant funding structures to support accurate claiming outcomes.

Analyse existing claiming processes and identify opportunities to improve accuracy, consistency and efficiency.

Develop and implement process improvements that strengthen payment integrity and operational performance.

Contribute to the ongoing development of Resolv's industry-leading claiming methodologies, systems and operational practices.

About You

You're someone who genuinely enjoys solving complex problems and takes pride in getting the detail right.

You're naturally curious, analytical and proactive. Rather than simply following existing processes, you're constantly looking for ways to improve them. You enjoy identifying inefficiencies, questioning why things are done a certain way and implementing practical solutions that deliver better outcomes.

Most importantly, you'll have significant hands-on experience preparing, reviewing and troubleshooting SIL claims and be confident navigating complex claiming scenarios within the NDIS Portal/PACE.

Significant experience preparing and managing Supported Independent Living (SIL) claims.

Strong working knowledge of the NDIS Portal/PACE, including creating and managing service bookings, submitting claims, investigating rejected claims and resolving payment enquiries.





Demonstrated experience interpreting participant funding, Schedule of Supports and rosters to produce accurate and compliant claiming outcomes.

Strong understanding of the NDIS Pricing Arrangements and Price Limits as they relate to SIL claiming.

Proven ability to investigate and resolve complex claiming discrepancies and payment issues.

Excellent communication and stakeholder management skills, with experience liaising confidently with providers, Support Coordinators, Plan Managers and other stakeholders.

Strong analytical skills with exceptional attention to detail.

Intermediate to advanced Microsoft Excel and/or Google Sheets skills.

Ability to manage competing priorities while maintaining a consistently high level of accuracy.

A proactive mindset with a genuine passion for continuous improvement and operational excellence.

Highly Regarded

Extensive experience investigating and resolving rejected NDIS claims.

Experience reviewing and preparing Schedule of Supports.

Experience interpreting SIL rosters and translating them into compliant claims.

Robust understanding of SIL operational models and participant funding structures.

Experience using MYOB, Salesforce, Xero or other provider management systems.

Experience supporting payment integrity, reconciliations or internal claiming audits.

Experience identifying and implementing operational process improvements.

Why Join Resolv?

Join one of Australia's leading SIL operational consulting businesses.

Work alongside highly experienced SIL funding, claiming and operational specialists.

Exposure to complex funding, claiming and operational scenarios across providers throughout Australia.

High-trust, collaborative team environment where your ideas and expertise will genuinely influence how we work.

Help shape industry-leading systems, processes and best practice across a growing national business.

Competitive remuneration based on experience.

#J-18808-Ljbffr

📌 Senior SIL Claims & Payment Integrity Manager (Melbourne)
🏢 @
📍 Melbourne