• 12 months fixed term, could lead to permanent opportunities for the right candidates
• Felixbile working environment, work from home and Adelaide CBD office
• Comprehensive training and great benefits

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
• Communicate with claimants, policyholders, and third parties to clarify claim details or request additional information
• Gather and analyse evidence to determine the validity and potential impact of claims
• 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.
• Ensure all claims processing activities comply with relevant industry regulations, legal requirements, and company standards
• Keep up to date with changes in regulations, laws, and best practices that affect claims processing

ADDITIONAL INFORMATION ABOUT THE ROLE

• Start Date March / April 2025
• The role will be based in our Adelaide office for the first 3 months, once you and your team leader agree you have settled well the opportunity to work from home will be an option.