Claims Consultant

5 months ago


Melbourne, Australia IAS RECRUITMENT Full time

Renowned Australian Organisation
- $64K (incl super) + bonus & benefits
- Hybrid Work Model | Melbourne Location

**About the company**

A renowned Australian company providing superior products and services across the banking, investment, health, and general insurance functions that support many Australians daily. This organisation has an opportunity for an experienced Administration Officer within their Heath Insurance business.

**About the roles**
- 1 x Administrative role focused on processing claims from Medical Providers. _
- 1 x Inbound Customer Service (call-centre) role handling claim enquires from Medical Providers._

As part of your responsibilities, you will handle a diverse range of tasks in a high-volume and fast-paced environment. It is crucial to ensure that all these tasks are executed in adherence to our service level agreements, our customer promise, and legal requirements. Your efficiency and attention to detail will play a vital role in maintaining the high standards we uphold for our members and ensuring their satisfaction with our services.

**Duties**
- Evaluating and approving membership decisions within the authorized limits as per agreed guidelines.
- Escalating queries that demand a more comprehensive response to the appropriate authority while providing all pertinent information to facilitate swift resolution.
- Prioritising processing tasks in relevant systems (training provided) based on their dates and ensuring prompt action upon first contact, thus aligning with service level agreements.
- Complying with standard templates, procedures, and protocols to meet all necessary compliance requirements.

**Skills and Experience**
- Experience within a customer-centric contact centre or back office environment is highly desirable
- Excellent time management and prioritization skills balanced with an eye for producing work at a high standard of details
- Health industry/banking/finance/claims experience desirable
- Understanding of compliance and regulative issues

**The Perks**

You will enjoy a range of great employee benefits and rewards, including:

- Competitive remuneration and incentive program
- Hybrid working environment (2 days a week in the office)
- A range of attractive company discounts
- Supported learning and career development program
- Additional paid well-being and community volunteer days yearly


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