Claims Assessor

2 weeks ago

Adelaide CBD, Australia Health Partners Limited Full time

**About the role**

We currently have an exciting opportunity to join our Provider Integrity team as a Claims Assessor on a full-time basis.

Reporting to the Claims Team Leader, you will be responsible for the end to end processing of Private Health Insurance claims including data entry, monitoring, reviewing and verifying whilst ensuring they comply with fund and business rules and individual contracts. The role also includes following up and liaising with members regarding claims as well as other internal departments as required.

***

**About you**

Ideally, you will have an understanding and working knowledge health insurance and the regulatory requirements coupled with strong analytical skills. Alternatively, you may have experience working with a healthcare provider, hospital administration or medical practice and are willing to learn more about claims processing.

To be successful in this role, you will be able to demonstrate:

- superb data entry accuracy with an ability to analyse information to ensure compliance with health industry standards and contracts,
- excellent written and verbal communication skills,
- strong attention to detail whilst working to required service standards
- robust understanding of the importance of customer service,
- a focus on quality and risk management, and
- self-motivation but also able to work as part of a small team.

Previous health insurance experience is highly desirable, previous relevant healthcare industry experience and/or experience in data entry and customer service with willingness to learn health insurance.

**What’s on offer**
- A generous allowance towards Health Partners Private Health insurance
- Access to an Employee Assistance Program
- Extensive training and coaching on Health Partners products and services
- A commitment for a great employee experience that supports your career and professional development

**About us**

Health Partners is South Australia's largest open health insurer, providing cover to over 90,000 people. Having our members in the forefront means every decision we make about the services we provide or partnerships we form, always has a considered approach on how that benefits our members while doing the right thing for them when it comes to their health protection and care.

Our genuine relationship with members is reflected in our Canstar awards for having Australia’s Most Satisfied Customers.

Working with Health Partners means that you will be working with a diverse range of people who are committed to doing things The Right Way.

If you are successful in gaining employment you will be required to provide documentation stating you are fully vaccinated against COVID-19 and have a satisfactory National Police Check.

Applications will be screened as they are received.

  • Claims Assessor

    4 days ago

    Adelaide, South Australia Eml Full time

    **Claims Assessor**:SA - Adelaide Workers Compensation Full Time- **Progression and career development opportunities**:- **Assist in the management of personal injury claims**:- **Onsite Learning and Development Team**EML is a leading **Workers Compensation** and **Personal Injury Claims Management** business. Our goal is to help people get their lives back...

  • Claims Consultant

    15 hours ago

    Adelaide CBD, Australia Marsh Full time

    The purpose of this role is to provide superior and professional claims service to **Echelon Claim Services Customers and Stakeholders**, whilst utilising the services of external providers (Repairers, Assessors, and Legal representatives). Servicing General claims (for motor, property, etc). **What is in it for you?** - Leading training and development...

  • Claims Assessor

    5 days ago

    Adelaide Region SA, Australia EML Full time

    **Claims Assessor**: SA - Adelaide Workers Compensation Full Time - **Progression and career development opportunities**: - **Assist in the management of personal injury claims**: - **Onsite Learning and Development Team** EML is a leading **Workers Compensation** and **Personal Injury Claims Management** business. Our goal is to help people get their...

  • Claims Professional

    2 weeks ago

    Adelaide, South Australia beBeeClaims Full time $70,000 - $100,000

    Claims Management SpecialistWe’re seeking an experienced Claims Management Specialist to join our team, who can combine technical insurance knowledge with empathy and sound judgment.The successful candidate will:Proactively manage claims end-to-end, analysing policy terms and applying sound judgement.Communicate confidently and empathetically with...

  • Hospital Claims Assessor

    1 week ago

    Adelaide Region SA, Australia Bupa Full time

    A career at Bupa is more than just a job. It’s an opportunity to make a real difference in the lives of our customers and communities. Our purpose, helping people live longer, healthier, happier lives and making a better world, is what inspires us. It’s a promise to our customers to change lives, and our world, for the better. Our people are at the heart...

  • Desktop Assessor

    3 days ago

    Greater Adelaide SA, Australia Suncorp Group Full time

    **Desktop Assessor** - **Permanent Role**: - **Melbourne or South Australia location** **About the role**: The Desktop Assessor is accountable for accurately assessing property damage via multiple assessing platforms including but not limited to; desktop assessing, virtual assessing, and when required onsite/on-road assessments. The Desktop Assessor is...

  • Insurance Claims Professional

    5 days ago

    Adelaide, South Australia beBeeClaims Full time $90,507 - $108,866

    Insurance Claims Specialist Job DescriptionWe are seeking a skilled and experienced Insurance Claims Specialist to join our team. In this role, you will be responsible for managing insurance claims from start to finish.End-to-end claims management, including analysing policy terms and making sound judgements.Communication with various stakeholders, such as...

  • Insurance Claims Specialist

    6 days ago

    Adelaide, South Australia beBeeClaims Full time $60,000 - $100,000

    Job Title: Insurance Claims ProfessionalThis role requires technical insurance knowledge, empathy, sound judgment, and a proactive approach to resolving complex claims.We're seeking an experienced and proactive Claims Consultant to join our team. The ideal candidate will have a strong foundation in claims management, enjoy solving problems, working with...

  • Motor Assessor

    2 weeks ago

    Adelaide CBD, Australia Insurance Australia Group Full time

    **The Role** **Start**:Immediate Start** 8:30am - 5.00pm, Monday to Friday Full time Permanent Role **Training**: In office/on road training will begin from the start date. We do require your commitment to the full-time training. **Key Responsibilities**: - Your key focus in the role will be to assess motor vehicle claims, inspecting damage and using...

  • Motor Assessor

    3 days ago

    Adelaide CBD, Australia Insurance Australia Group Full time

    **The Role** **Start: Immediate Start **8:30am - 5.00pm, Monday to Friday Full time Permanent Role **Training**:In office/on road training will begin from the start date. We do require your commitment to the full-time training. **Key Responsibilities**: - Your key focus in the role will be to assess motor vehicle claims, inspecting damage and using your...