Claims Officer at Nib Health Funds

Newcastle, New South Wales, Australia -

Full Time

Start Date

Immediate

Expiry Date

12 Aug, 26

Salary

0.0

Posted On

14 May, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Processing, Customer Service, Administration, Attention To Detail, Process Improvement, Digitalization, Ancillary Claims Processing, Medical Claims Processing, Hospital Claims Processing

Industry

Insurance

Description

About this role As the Claims Officer, you are responsible for processing member and provider claims to ensure that customer service and performance targets are met to support Business Unit and organisational goals. Day to day you will: Process Ancillary, Medical and Hospital claims across all business lines in line with business rules and Service Level Agreements. Identify pain points and opportunities to improve, automate and digitalise the member and provider experience Contribute to designing streamlined end-to-end processes that remove redundancies and support first point resolution This role will be based in our Newcastle hub, the position commences on Monday, 22 June 2026 and requires your commitment to a two-week training program in our Newcastle hub. After training, you can work one day in the office per week, the rest working from home. About you With experience in a similar role, or in customer service or administration, you will bring energy and commitment to delivering an exceptional customer experience. We’re seeking motivated individuals who are keen to learn and grow, with a genuine interest in developing their knowledge of nib’s products and claims processes. You’ll have a strong attention to detail, take pride in accuracy, and enjoy learning new systems and applying your knowledge to real customer interactions. Who we are nib is a leader in private health insurance, disability support and health services. We’re reshaping the industry through innovation, smart partnerships and a strong focus on delivering great value to our members. Our mission is simple: helping people enjoy better health and supporting healthier, more sustainable communities. Diversity, equity and inclusion We welcome people from all backgrounds and lived experiences and are committed to a workplace where everyone can be themselves. We encourage applications from Aboriginal and Torres Strait Islander peoples, people living with disability, veterans, LGBTQIA+ communities and culturally diverse individuals to apply for open roles. We’re committed to creating an accessible recruitment process and employment experience. If you require adjustments to our online application, recruitment, selection and/or assessment process, or would like this advertisement in an alternative format, please contact us at nibemployment @nib.com.au. Working at nib Our hybrid model gives you the flexibility to work from home or from our purpose‑built office Hubs designed for connection and collaboration. Other benefits to support you at work (and play) include: New starter benefit to help set up a functional home workspace 50% discount on employee health insurance + 35% off travel insurance Opportunity to give back with paid volunteering leave supported by the nib foundation Access to our nib Well Program and corporate fitness discounts The fine print All your information will be kept confidential according to EEO guidelines. Successful applicants will be required to complete a background check (including criminal history and bankruptcy check) prior to commencement of employment. We acknowledge Aboriginal and Torres Strait Islander peoples as the Traditional Custodians of the lands where we live, learn and work. Next steps: If successful, you will receive an email from Sapia.ai inviting you to complete an online, chat‑based assessment. Who we are nib Group is a trusted international health partner, empowering our members to make better decisions and improve health outcomes through greater accessibility to affordable health services and information. nib Group provides health and medical insurance to over 1.6 million Australian and New Zealand residents. We also provide health insurance to more than 190,000 international students and workers in Australia. In addition, we are Australia's third largest travel insurer and global distributor of travel insurance through our business nib Travel, providing financial protection and assurance to travellers wherever they are in the world Our Purpose Our purpose is your better health. We are a trusted partner in helping our members and travellers make more informed healthcare decisions, transact with healthcare systems and generally live healthier lives.

Responsibilities

Process ancillary, medical, and hospital claims while meeting performance targets and service level agreements. Identify opportunities to automate and digitalize processes to improve the member and provider experience.