Claims Assessor

**The opportunity**

Bupa’s purpose of helping people live longer, healthier, happier lives is supported by our strategic vision of becoming a true champion of the customer in health and care.
- Various Full, Part time (min 30 hrs/wk) or Contract positions with Flexible working arrangements are on offer. Applicants with y_
- ._

**How will I help?**

People covered by private health insurance expect their claims to be paid efficiently and promptly. They also expect that their contributions don’t go towards people who aren’t covered and haven’t been paying contributions towards private health insurance as they have. Some people choose health insurance products with certain restrictions on what might be covered. It’s not always straightforward.

You will investigate and help determine whether relevant claims are eligible to receive benefits under the provisions of the level of cover held by the member. To do so you will use the knowledge of health insurance products you will gain in our team, your inquisitive mind and your powers of deduction. Senior people in the team and doctors working with us can help you come to decisions and make recommendations fairly and with proper regard to our members’ rights and expectations.

**Key accountabilities include**:

- Be a team player. Drive positive cultural change. Align your behaviours with current and future business objectives.
- Deliver accurate, timely and efficient clinical assessment of all assigned claims.
- Communicate with our customers with consideration, empathy, and proper respect for people who are experiencing health and financial pressures. The same professional approach is to be applied to communication with health care practitioners, providers and other relevant stakeholders.
- Identify and recommend opportunities for process and functional improvements that support this review.
- Always model Bupa Values.

**What’s in it for me?**

The opportunity to work within a high profile, industry leading global health insurer, where your contribution makes a difference. Bupa operates in 6 continents and offers a range of services, including health insurance. If you enjoy solving puzzles and have the capacity to examine complex information to find relevant facts, these roles may be what you’re looking for.

Perk highlights:

- Discount on our health insurance as well as discounts when you attend a Bupa Dental clinic or purchase glasses from a Bupa Optical store.
- A dedicated internal wellbeing team provides you with a range of services, such as a global resilience program, regular training opportunities on a range of wellbeing topics and access to a variety of wellbeing discounts.

**What do I need?**
- These roles will suit someone with experience or an interest in investigating and reviewing claims within a framework of policies and legislation, especially someone with previous experience in insurance or healthcare industries.
- Learns and retains new skills and information easily
- Solution-focused to identify a fair assessment for our customers claims in accordance with policy rules
- Very comfortable with systems, processes, computer systems and compliance with legislation
- Be a self-starter
- Very good written and verbal communication skills, able to engage in professional conversations with customers and providers
- Familiarity with Customer Relationship Management systems is an advantage but not essential
- Medical Terminology Accreditation is desirable or will be undertaken soon after commencing
- Competent in using MS Office package and having data entry skills.

About Bupa Asia Pacific

Bupa is an international healthcare group which has been committed to a purpose of helping people live longer, healthier, happier lives and making a better world for more than 70 years.

Bupa Asia Pacific operates in Australia, New Zealand and Hong Kong, supporting about 6.5 million customers through a broad range of health and care services including health insurance, aged care, dental, medical, optical and hearing services. Employing more than 20,000 people in the region, we believe that we can make a real difference to the lives of customers through our values, purpose and the way that we deliver personalised care.

Since 2002, we have reinvested approximately $6 billion in the region, with the Bupa Foundation investing more than $34 million to support 130+ health and care projects. Our people reflect the diversity of our community.At Bupa, your wellbeing, identity and own story is respected and valued.