Claims Specialist

Let's talk about this role

At nib, we're passionate about putting our members first. As a Claims Specialist, you'll play a key role in delivering exceptional service by answering provider enquiries via phone and email and supporting a wide range of claim types; Ancillary, Medical, and Hospital, across all business lines. You'll be part of a team that thrives on accuracy, empathy, and continuous improvement, ensuring claims are handled in line with our business rules and service level agreements (SLA's).

This role is more than just answering calls, it's about identifying opportunities to enhance the member and provider experience. You'll help uncover pain points and contribute to the automation and digitalisation of our processes, making things simpler and smarter for everyone involved.

If you're someone who enjoys solving problems, improving systems, and working collaboratively, this could be the perfect fit.

Let's talk about you

You're someone who takes pride in delivering high-quality work and thrives in a performance-driven environment.

You're confident working to targets and consistently meet utilisation, efficiency, quality assurance, and completion goals in line with service SLAs. You also bring:

• Minimum 1 year of claims experience, ideally within private health insurance.
• High attention to detail and accuracy in a fast-paced environment.
• Strong verbal and written communication skills, with the ability to work remotely and autonomously.
• Previous experience resolving customer issues across multiple communication channels (e.g. phone, email) and a strong focus of delivering superior customer service.

We know some people only apply when they meet every requirement. We're always on the lookout for curious individuals who will add to the culture - so if this role resonates with you and you have relevant experience, we'd love to hear from you

Let's talk about who we are

nib is a leader in private health insurance, disability support and health services, reshaping the industry through bold innovation, strategic disruption and trusted partnerships. We deliver great value health insurance and support services to protect, connect and empower you to access healthcare when and where you need.

We have a mission and vision of people enjoying better health. Through our success, we aspire to more prosperous and sustainable communities, helping members and travellers make more informed healthcare decisions and generally live healthier lives.

Let's talk about diversity, equity and inclusion

We embrace a flexible working environment and welcome candidates who reflect the diversity of the communities in which we operate. We're committed to an environment where everyone has the autonomy and freedom to be their authentic selves, every day. We encourage Aboriginal and Torres Strait Islander peoples, people living with disability, veterans, LGBTQIA+ as well as culturally diverse community members to apply for open roles.

nib Group is committed to creating an accessible recruitment process and employment experience. If you identify as a person living with disability and require adjustments to our online application, recruitment, selection and/or assessment process, or would like this advertisement in an alternative format, please contact us at nibemployment

Let's talk about working at nib

Our hybrid working model offers flexibility to work from home or our purpose-built office Hubs, designed for focus, connection, and collaboration. We're committed to coming together with purpose.

Other benefits to support you at work (and play) include:

• New starter benefit to help set up a functional home workspace
• 50% discount on employee health insurance + 35% off travel insurance
• The opportunity to give back to the community through paid leave for volunteering through nib foundation
• Access to our nib Well Program and corporate fitness discounts
• Access to employee share plans, short-term incentive program and life and salary continuance insurance benefits
• 18 weeks paid parental leave for all new parents regardless of carer status, 5 days paid cultural leave for First Nations peoples and 4 weeks paid gender affirmation leave for trans, gender diverse and intersex employees

The fine print

All your information will be kept confidential according to EEO guidelines.

Successful applicants will be required to complete a background check (including criminal history and bankruptcy check) prior to commencement of employment.

We acknowledge Aboriginal and Torres Strait Islander peoples as the Traditional Custodians of the lands where we live, learn and work.

Here's what to expect during our recruitment process: After applying, you'll receive an email confirmation. Within 1-2 weeks, you'll get an update on your application status. If you progress to the next stage, our Talent Acquisition team will call you to discuss the role, your motivations, and your career history.