Claims Processing Consultant

at  Bupa

• Permanent full-time opportunities
• Hybrid role, based in our Adelaide CBD / working from home 3 days a week
• Comprehensive in office training plan and excellent employee benefits and development

ABOUT YOU:

We are seeking committed, highly organised individuals who have excellent communication skills with high level of attention to details.
Team players with an engaging style and a passion for learning. You like the idea of developing your career in the health insurance industry, previous experience in claims is highly regarded.
Excellent, ongoing training will be provided to the successful candidate. The ability to establish rapport, build trust and support members in vulnerable circumstances, will be integral to success in this role.

THE HEART OF THE ROLE:

We are looking for Claims Processing Consultants to join our Claims team on a full-time permanent basis. You will be responsible for managing complex customer and provider Health Insurance claim requests for Ancillary, Medical and Hospital Claims. You will be working directly with customers and providers to proactively assess claims and resolve queries while building strong relationships to deliver a seamless claiming experience for our customers and providers.

AS A CLAIMS PROCESSOR YOUR RESPONSIBILITIES WILL INCLUDE:

• End to end claims assessment of Hospital, Medical and Ancillary claims
• Ensuring high level quality customer and provider outcomes through both accurate and efficient claims assessment
• Proactively identify process improvement and self-service opportunities to support customer needs
• Provide best in class service to customers and providers both via phone (inbound and outbound) and written correspondence including account queries.

ADDITIONAL INFORMATION ABOUT THE ROLE:

• Start Date 2nd of September
• For the three months, you will complete training on-site at our Adelaide office. Following this period, you will be able to work remotely, with a requirement to attend the office twice week!