Member Claims Specialist at HCF Corporation

Sydney, New South Wales, Australia -

Full Time

Start Date

Immediate

Expiry Date

03 Oct, 26

Salary

0.0

Posted On

05 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Private Health Insurance Knowledge, Ancillary Claims Processing, Customer Service, Claims Portal, Elmo, New Health, GV, Written Communication, Verbal Communication, Data Entry, Conflict Resolution, Empathy, Patience, Call Handling, Claims Assessment, Complaint Management

Industry

Medical Practices

Description

Join the HCF Claims team in our contact centre at Parramatta. About the Role The Member Claims Specialist will focus on first call resolutions for our members over the phone, assess and process health insurance claims to ensure timely payments for our members. You will also provide support to the Contact Centre and Branch teams with complex claims queries. This is a maximum term contract for 12 months. This role is based at Parramatta and you will work full time hours, Monday to Friday from 9 am to 5:15 pm. Hybrid working is available, after the training period. You will be required to work in the office a minimum two days a week. As the Member Claims Specialist, you will: • Respond to all member queries over the phone, and assess and review claims • Lead by example by displaying soft skills of empathy, patience and providing uncommon care • Handle all member claims related enquiries adhering to agreed call and claims processing quality standards • Identify opportunities to improve customer service standards and provide outstanding customer service • Provide support to Contact Centre and Branch team members with complex claims queries • Respond to dissatisfied members and handle all complaints and provide resolutions over the phone. About You You will have a comprehensive knowledge of private health insurance products and Ancillary claims procedures. You will have strong understanding of Claims Portal, Elmo, New Health and GV. To be successful in this role, you will demonstrate: • The ability to work under pressure • A strong commitment to providing exceptional customer service • A positive attitude and willingness to embrace change • Strong written and verbal communication skills • Accurate typing and data entry skills • The desire to improve and develop skills and knowledge. 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

The Member Claims Specialist is responsible for assessing and processing health insurance claims and resolving member queries over the phone. They also provide expert support to Contact Centre and Branch teams regarding complex claims queries.