Claims Officer

3 weeks ago


Parramatta, New South Wales, Australia Randstad Full time
About the Role

We are seeking a highly skilled Claims Officer to join our team at Randstad. As a Claims Officer, you will be responsible for processing high-volume hospital claims while ensuring the member's benefits are at the forefront of every decision.

Key Responsibilities
  • Assess, review, and pay hospital claims in accordance with policies and rules
  • Maintain claims quality by ensuring accuracy targets are achieved and error rates are below KPIs
  • Process rejected claims
  • Maintain accurate provider records
  • Process claim adjustments and initiate follow-up
  • Action reports
  • Respond to enquiries from Medicare & providers
Requirements
  • Highly accurate with exceptional attention to detail
  • Previous experience in insurance claims or insurance call centre
  • Process driven
  • Excellent written and verbal communication skills
  • Problem-solving skills while working under pressure
  • Ability to work well within a team
What We Offer
  • Flexibility with hybrid work from home structure
  • Comprehensive training and development
  • Discounts across all products
  • Dynamic, vibrant, and passionate team who celebrate the small and large wins together
  • Reward and recognition programs with long-term career prospects


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