Claims Processor

As a Claims Processor, you'll play an important role in delivering timely, accurate and member-focused claims outcomes that make a difference when it matters most. Working within our Member Operations team, you'll assess and process health insurance claims, support members and providers with enquiries, and contribute to a positive customer experience through efficient, empathetic service. You'll also have opportunities to develop your technical capability, contribute improvement ideas and be part of HBF's ongoing transformation journey.

Responsibilities

Assess and process health insurance claims accurately and efficiently in line with policies, procedures and service standards; Respond to member and provider enquiries, resolving issues at the earliest opportunity where possible; Manage workload priorities to achieve productivity, quality and service level targets; Apply approved procedures, delegations, privacy requirements and risk controls in day-to-day activities; Participate in team routines, coaching, cross-skilling and continuous improvement initiatives; Identify opportunities to improve processes and reduce manual effort while maintaining quality outcomes

Requirements

Previous experience in claims processing, medical or ancillary administration/reception, customer service or a similar operational environment; Strong attention to detail with the ability to interpret and apply policies, procedures and guidelines accurately; Excellent communication skills and the ability to provide empathetic support to customers and stakeholders; Proven ability to manage priorities, work efficiently and maintain high levels of accuracy; Sound judgement with the ability to identify risks, solve problems and escalate complex matters appropriately; A collaborative approach, continuous improvement mindset and commitment to learning and professional development

Benefits

FREE Corporate Gold Hospital Insurance (for you and your family); 3 additional wellbeing days off a year (on top of standard 20 days annual leave and 10 days personal leave) pro rata; 2 volunteering days per year; 18 weeks paid parental leave; Access to corporate discounts across a range of gyms, retail, restaurants, and hotels; Centrally located CBD office with discounted onsite barista; Hybrid working arrangements available