Claims Officer

About the Role

As an Ancillary Claims Officer, you will assess and process high volume ancillary claims for our members.  You will ‎‎be part of a ‎supportive team who strive to deliver UnCommon Care to our members. 

This fast paced role has a strong customer service focus. It is essential that accurate information and exceptional service in provided responding to enquiries raised by internal customers, members, and providers.  A thorough understanding of the funds policies and procedures are required.

This is a part time, max term contract for 12 months, working three days a week on Monday, Tuesday and Friday. 

Operational hours are 8:30am to 5pm from Monday to Friday, based in Parramatta with hybrid working available.

Key responsibilities will include:
•    Assess and review all types of ancillary claims
•    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
•    Process claims or reject in Claims Portal and New Health Systems
•    Perform claims adjustments and initiate follow up/recovery action as required.
 
About You

You will have strong customer service skills and previous experience within insurance claims, contact centre or administration roles.
To be successful, you will have:
•    Intermediate PC skills with accurate data entry skills
•    Ability to adapt positively to changing work practices and needs
•    Ability to set own priorities to ensure individual and team targets are achieved and exceeded
•    Ability to communicate verbally effectively and courteously and in writing to both internal and external customers
•    Ability to work autonomously and set own priorities to ensure unit objectives are met.
 

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 – [email protected]  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.