Claim Approvals Consultant at Southern Cross Healthcare

Auckland, Auckland, New Zealand -

Full Time

Start Date

Immediate

Expiry Date

21 Jun, 26

Salary

0.0

Posted On

23 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Focus, Empathy, Communication, Policy Research, Claim Assessment, Decision Making, Data Recording, Team Collaboration, Resilience, Agility, Self-Awareness, Goal Achievement, Confidentiality

Industry

Insurance

Description

About us Southern Cross Health Insurance is shaping a healthier Aotearoa New Zealand. Our purpose is simple: empowering our members to live well for longer. We're here to give peace of mind through timely access to quality care, inspire healthier living, and lead positive change across the health system. As a New Zealand-owned, member-based organisation, we're building a future where wellbeing is at the heart of everything we do -- delivering exceptional value for our members and creating an environment where our people thrive. Now is an exciting time to join us. You'll be part of a high-performing, values-driven team where people are at the heart of everything we do -- and in return for your talent, you'll have the opportunity to grow, make an impact, and be proud of the difference your work makes. About the role We’re excited to be recruiting for our next intake of Claim Approvals Consultants to join our Contact Centre whānau. In this role, you’ll be the reassuring voice and trusted guide for our members, helping them understand their healthcare treatment eligibility under their health insurance plans. You’ll work alongside an award-winning team — proud winners of the 2025 Reader’s Digest Quality Service Award — who are supportive, engaged, and genuinely enjoy working together. Our team celebrates wins, supports one another, and brings their whole selves to work while delivering outstanding service to our members. Role details Type: Permanent, full-time (You must be a New Zealand Resident, New Zealand Citizen, or Australian Citizen to apply) Start date: 19 May 2026 Hours: Monday to Friday, between 8.00am – 5.30pm Location: Tāmaki Makaurau – Auckland (This role is Auckland-based - remote options are not available) Onboarding & training You’ll receive a comprehensive five-week training programme, followed by ongoing mentoring and support to set you up for success. What you’ll be doing Supporting members via phone and digital channels with enquiries about treatment eligibility Gathering information, researching policies, and assessing claims to deliver clear, confident decisions Keeping up to date with policy, product, and process changes Accurately recording enquiry details and outcomes across our systems Playing an active role in a collaborative, high-performing team About you You’ll thrive in this role if you: Are customer-focused, empathetic, and genuinely enjoy helping people Communicate clearly and confidently, with a warm and friendly manner Bring a positive outlook and growth mindset Are resilient, agile, and self-aware Are motivated to achieve goals and continuously improve Respect confidentiality and handle sensitive information with care Contact centre or medical experience is advantageous but not required. We’re seeking people with the right attitude and values—those who genuinely enjoy helping others. What’s in it for you? In return for your talent, you’ll receive a generous benefits package, including: Five days of wellbeing leave plus one paid volunteer day each year Hybrid ways of working to support work, team, and individual needs A comprehensive induction and structured development pathway Remuneration increases as you progress through our Development Pathway Programme Fully subsidised medical insurance for you and your immediate whānau Life insurance cover and discounts on pet and travel insurance Additional parental leave benefits and financial wellbeing support The option to purchase flexi leave Access to a leading workplace wellbeing programme that is tailored to your unique wellbeing journey and be rewarded up-to $1000 every year Our Values and Our Commitment to Inclusion Ngākau nui. Āhurutanga. Tikanga. Always there. Always real. Always true. If you thrive in a caring, honest, and open culture, you’ll feel right at home with us. We are proud to be Rainbow Tick accredited, and we facilitate an active employee-led Diversity, Equity and Inclusion Forum which supports many diverse groups including our Māori network, Pasifika Collective, Neurodiversity and Whānau Support networks. If you share our commitment and passion, we'd love to hear from you. About us Southern Cross Health Insurance is shaping a healthier Aotearoa New Zealand. Our purpose is simple: empowering our members to live well for longer. We’re here to give peace of mind through timely access to quality care, inspire healthier living, and lead positive change across the health system. As a New Zealand-owned, member-based organisation, we’re building a future where wellbeing is at the heart of everything we do — delivering exceptional value for our members and creating an environment where our people thrive. Now is an exciting time to join us. You’ll be part of a high-performing, values-driven team where people are at the heart of everything we do — and in return for your talent, you’ll have the opportunity to grow, make an impact, and be proud of the difference your work makes.

Responsibilities

The consultant will support members via phone and digital channels regarding treatment eligibility under their health insurance plans, which involves gathering information, researching policies, and assessing claims to provide clear decisions. They will also be responsible for accurately recording enquiry details and outcomes while actively participating in a collaborative team.