Claims Team Leader

4 days ago

Sydney Central Business District, Australia HCF Full time

**About rt health**

rt health is a not for profit organisation that provides health cover to transport and energy industry employees and continues to grow today to ensure we provide simple health insurance solutions and great value to our members.

In November last year rt health merged with Australia’s largest not-for-profit health fund, HCF.

As proud, member-owned organisations, we share a commitment to improving the wellbeing of our members and understand the significant value provided by not-for-profit mutuals. We believe this merger will deliver more benefits and better long-term value for rt members while supporting the viability of the mutual health fund industry.

**About the role**

The Claims Team Leader is responsible for the achievement of the claims team objectives in relation to the processing of claims and in the ongoing development of the team. Balancing productivity and meeting service level agreements are critical to this role, whilst creating an engaging and collaborative team environment.

Key responsibilities include:

- Manage team members by building and maintaining a culture of service excellence within the team to exceed service SLA’s
- Provide direction, empower, motivate and develop team in order to achieve business unit, team and individual goals
- Identify any gaps in claims process and action and escalate where appropriate
- Liaise with HCF clinical team and ancillary team on any clinical issues and/or unusual billing practices identified in assessing
- Ensure claims are processed accurately, within SLA’s and in accordance with processes and procedures
- Manage all member or provider complaints effectively
- Ensure all training material/claims manuals are updated and reviewed annually

**About You**
- Extensive experience in a claims management role or similar
- Sound organisational skills and ability to perform required tasks on a timely basis with mínimal supervision
- Ability to adapt positively to frequently changing work practices and needs
- High degree of computer literacy - MS Office, Outlook
- Excellent verbal and written communication skills
- Ability to set own and team priorities to ensure objectives are met

**Culture**

Working in the health insurance industry, we know how important it is to prioritise the wellbeing of our own people. We’re all about creating a fantastic people experience, guided by our values, so that we can in turn better deliver for our members. We work with our people to create a work experience that is inclusive, supportive, safe and respectful so we can do the best for our members.

Come and join our rt Health team

**Benefits**
- Up to 50% discount on health cover, pet & travel insurance
- Flexible work arrangements
- Family & Friends day
- Organisational wide Recognition & Rewards program
- Generous Parental Leave Scheme
- Certified Family Friendly Workplace
- Health & Wellbeing Initiatives

**A career with us - How to Apply

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