About the role

The Claims Assessor – Medical and Ancillary role is responsible for processing high volumes of medical and ancillary claims. In addition, this role has a strong customer service focus, and it is essential that accurate information and exceptional service is provided in responding to enquiries raised by internal customers, members, Medicare Australia and providers. A thorough understanding of the funds policies and procedures are required.

Responsibilities

• Assess and process all types of medical claims within SLA’s
• 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

About you

To be successful in this role, you will demonstrate the following qualifications, experience and skills:

• Excellent communication both written and verbal
• Accuracy of data input skills
• Intermediate PC skills in Outlook, Excel, Word and fund management systems
• Previous experience processing ancillary or medical claims transactions highly desired

Culture & Benefits

Purpose-Driven Passion - We are united by a common purpose – to make healthcare affordable, understandable, high quality and member-centric.

Wellness and Work-Life Balance – We’ll equip you with the necessary skills and tools to support your personal well-being journey, ensuring you perform at your best. Our offerings include:

• 50% subsidy on HCF/RT Health Hospital and/or Extras Cover.
• 18 Weeks of Parental Leave for all new parents
• Mental Health & Wellbeing Programs, including workshops, fitness classes, flu vaccinations, skin checks and more!
• Discounts on HCF & RT Health’s entire suite of products, including Life, Pet and Travel Insurance, as well as 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. Our organization provides opportunities for personal and professional development. From workshops to mentorship programs, we encourage growth and curiosity.

Next Steps

If you require any adjustments to assist you in making your application or throughout the recruitment or onboarding process, please reach out to Talent Acquisition – vacancy@hcf.com.au to discuss.

We encourage applicants to submit their applications at their earliest convenience, as at HCF/RT Health, we review applications as they are submitted, and may have filled the role prior to the job closing date.