Claims Processing Consultant

1 week ago

Adelaide, Australia Bupaoptical Full time

- 12-Month Fixed Term – With the Opportunity to Go Permanent
- Hybrid Work Model – Adelaide CBD Office & Work from Home
- Comprehensive Training Program & Generous Employee Benefits

About the Role

We are currently seeking dedicated and detail-oriented individuals to join our team as Claims Processing Consultants. In this role, you will manage the end-to-end assessment of complex claim requests across Hospital, Medical, and Ancillary services. You will act as a key liaison between Bupa, our members, and healthcare providers—ensuring claims are processed accurately, enquiries are handled efficiently, and our commitment to outstanding service is upheld at every step.

Key Responsibilities

- Assess and process a variety of claims, including Hospital, Medical, and Ancillary services
- Interpret and apply health insurance policies, schedules, and relevant regulations with accuracy
- Manage both inbound and outbound communications in relation to claims and accounts
- Identify opportunities to enhance process efficiency and support self-service initiatives
- Collaborate with cross-functional teams to ensure timely resolution of claims-related enquiries

Work Arrangements

The first three months will be based onsite at our Adelaide CBD office for training and onboarding. After that, you’ll transition to a hybrid work model in consultation with your Team Leader.

About You

Previous experience in health insurance or claims is not essential. We’re looking for individuals who are curious, detail-focused, and committed to delivering high-quality outcomes in a dynamic environment.

You will bring:

- Strong written and verbal communication skills
- Confidence in navigating multiple digital systems and platforms
- Exceptional attention to detail, with a strong focus on compliance and accuracy
- A proactive, solutions-oriented approach to problem-solving
- Strong time management skills and the ability to meet deadlines under pressure
- A collaborative mindset, with the ability to also work autonomously

Support Every Step of the Way

At Bupa, our people are at the heart of everything we do. Our global wellbeing program is designed to support your mental, physical, financial, social, and environmental health—ensuring you thrive both professionally and personally.

- Our employee benefits include:
- Fully subsidised Bupa health insurance
- Discounts on travel, home, dental, and optical services
- Exclusive savings with partner brands such as Apple, Endota Spa, and New Balance
- One additional day of annual leave each year for your wellbeing
- A paid volunteer day each year to give back to the community

We are committed to creating a safe and inclusive workplace that reflects the diverse communities we serve. Applicants from all backgrounds are encouraged to apply. If you require any adjustments during the recruitment process, please let us know when submitting your application.

Join us and discover how wellbeing goes beyond the workplace.

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