Claims Officer at HCF Corporation
Sydney, New South Wales, Australia -
Full Time


Start Date

Immediate

Expiry Date

24 Feb, 26

Salary

0.0

Posted On

26 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Customer Service, Claims Processing, Data Entry, Communication, Adaptability, Prioritization, Autonomy

Industry

Medical Practices

Description
Join the Ancillary Claims team at Parramatta and provide uncommon care to HCF members. About the Role As an Ancillary Claims Officer, you will be responsible for processing high volume ancillary claims. This role has a strong customer service focus, and it is essential that accurate information and exceptional service in provided responding to enquiries raised by internal customers, members, and providers. A thorough understanding of the funds policies and procedures are required. This is a full time, fixed term contract for 12 months. Hours are 8:30am to 5pm from Monday to Friday, based in Parramatta with hybrid working available. Key responsibilities will include: • Assess and review all types of ancillary claims • Review and pay claims in accordance with Fund Rules and policies • Maintain claims quality by ensuring processing accuracy targets are achieved and error rates are below unit KPI’s • Process claims or reject in Claims Portal and New Health Systems • Perform claims adjustments and initiate follow up/recovery action as required. About You You will have strong customer service skills and previous experience within insurance claims, contact centre or administration roles. To be successful, you will have: • Intermediate PC skills with accurate data entry skills • Ability to adapt positively to changing work practices and needs • Ability to set own priorities to ensure individual and team targets are achieved and exceeded • Ability to communicate verbally effectively and courteously and in writing to both internal and external customers • Ability to work autonomously and set own priorities to ensure unit objectives are met. About HCF At HCF, our purpose is to bring our human touch to healthcare. Since 1932 we’ve been putting our members and their health first. As Australia’s largest not-for-profit health fund, we cover 2 million members with health, life, travel and pet insurance and our vision is to make healthcare understandable, affordable, high quality and member centric. We want to be true health partners to our members, easily guiding the healthcare choices that are right for them. At HCF, our values are the way we do things and create the necessary culture to help us realise our purpose and deliver our Strategy. Living our values in action we step forward, walk in their shoes, stay human, make it better and get there together. Culture & Benefits Purpose-driven passion We’re united by a common purpose: to make healthcare affordable, understandable, high quality and member-focused. Wellness and work-life balance We’ll empower you with the necessary skills and tools to support your personal wellbeing journey, ensuring you perform at your best. Our offerings include: Flexible working arrangements 50% subsidy on HCF hospital and/or extras cover Family-friendly certified employer 18 weeks of parental leave for all new parents Mental health and wellbeing programs, including workshops, fitness classes, flu vaccinations, skin checks and more Discounts on HCF’s products, including life, pet and travel Insurance, as well as discounts at Fitness First gyms and on our eyecare products. Collaboration and inclusivity We embrace diversity as our strength and are committed to maintaining an inclusive and collaborative work environment. Our workplace is welcoming and safe for all our employees, irrespective of their unique characteristics including age, ethnicity, cultural or spiritual background, gender identity, disability, education and socio-economic status. Continuous learning and growth We believe in lifelong learning. HCF provides opportunities for personal and professional development. From workshops to mentorship programs, we encourage your growth and curiosity. Next steps If you require any adjustments to assist you in making your application or during the recruitment or onboarding process, please reach out to Talent Acquisition – peopleservices@hcf.com.au to discuss. We encourage applicants to submit their applications at their earliest convenience, as at HCF, we review applications as they are submitted, and may have filled the role prior to the job closing date. At HCF, we want our people to feel supported and empowered to be their best self at work. We create a flexible, inclusive, family-friendly culture so our employees are inspired and motivated to achieve the best for themselves and our members. Our purpose is to bring a human touch to every part of the healthcare system, in big ways and small. Our values inform the way we do things. They help us build the culture we need to realise our purpose. Our values are to: Step Forward Get There Together Make it Better Stay Human Walk in Their Shoes. We’ve invested in our people and teams to ensure they’re equipped to reach their career goals. We help team members expand their skill sets and develop personally through various internal and external courses, as well as broaden their on-the-job experience through transfers, secondments or promotions.
Responsibilities
As an Ancillary Claims Officer, you will assess and review all types of ancillary claims while ensuring processing accuracy. You will also respond to enquiries from internal customers, members, and providers.
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