HCF

Healthcare

ClaimsOfficer

A$55–75k ~AI est. Parramatta, New South Wales, Australia PART TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Claims Officer at HCF. Skills: Claims processing, Customer service. Assess and review all types of ancillary claims. Review and pay claims in accordance with Fund”

What You'll Achieve.

Achieve processing accuracy targets; Error rates below unit KPIs; Ensure individual and team targets are achieved and exceeded; Ensure unit objectives are met

Industry & Context.

Healthcare

What They're Looking For.

Must Have

Intermediate PC skills, Accurate data entry skills, Ability to adapt positively to changing work practices, Ability to set own priorities, Ability to communicate verbally effectively and courteously, Ability to communicate in writing, Ability to work autonomously

Nice to Have

Previous experience within insurance claims, Previous experience within contact centre, Previous experience within administration roles

What You'll Do.

Assess and review all types of ancillary claims

Review and pay claims in accordance with Fund

Maintain claims quality

Ensure processing accuracy targets are achieved

Ensure error rates are below unit KPIs

Process claims or reject in Claims Portal and

Perform claims adjustments

Initiate follow up/recovery action

How You'll Work.

Team & Collaboration

Internal customers; Members; Providers

Communication Scope

Verbal communication; Written communication

Full Job Description

Join the HCF Claims team at Parramatta. **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

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