Claims Assessor

About the Role

As a Life Claims Assessor, you will assess and manage all claims from complex accident, death, terminal illness, trauma and income protection products in accordance with the policy and procedures, company standards and relevant legislation. You will assess and pay claims and assist on product and claim enquiries. 

This is a part time, fixed term contract until the end of February 2026. This is a hybrid role, working three days a week, based in the Sydney CBD.

Responsibilities:

•    Manage all claims with particular focus on complex living benefit claims and Member product and claim enquiries while assisting the Senior Claims Specialist in supporting and mentoring the claims team in the management and assessment of Life claims. 

•    Draw on industry knowledge to identify and monitor key trends and issue in the affecting claims life insurance claims best practice and performance. 

•    Participate in the development of the HCF Life business plan by contributing ideas and offering expertise in identifying opportunities and challenges in the life insurance industry. 

•    Continuously review claims processes to optimise claims efficiency and performance. 

•    Be continuously aware of member needs and be able to continually refine and deliver quality customer service experience. 

•    Actively engage, and cooperate, with relevant management and stakeholders to gain feedback on how to improve the member experience. 

•    Follow and support processes and guidelines to efficiently manage the HCF Life Claims process and support the HCF Life claims philosophy   

•    Support a culture of continuous process improvement.  

•    Understand and comply with the external operating and regulatory environment.

About You

You will have previous experience in assessing insurance claims and strong customer service skills.

To be successful, you will have:

•    Demonstrated ability to understand medical conditions, and interpret medical information on policy definitions

•    Significant claims assessment experience in financial service industry with particular experience in the management of Income Protection claims 

•    Demonstrated ability to understand and analyse an individual's financial information in relation to Income Protection claim assessments 

•    Flexibility and commitment to providing high quality claims management and customer service to HCF members. 

•    Superior verbal and written communication skills

•    Ability to carry out tasks with minimal supervision 

•    Demonstrated competence with Microsoft Word and Excel 

About HCF

At HCF, our purpose is to bring our human touch to healthcare. Since 1932 we've been putting our members and their health first. As Australia's largest not-for-profit health fund, we cover 2 million members with health, life, travel and pet insurance and our vision is to make healthcare understandable, affordable, high quality and member centric.

We want to be true health partners to our members, easily guiding the healthcare choices that are right for them. At HCF, our values are the way we do things and create the necessary culture to help us realise our purpose and deliver our  Strategy. Living our values in action we step forward, walk in their shoes, stay human, make it better and get there together.
 

Culture & Benefits 

Purpose-driven passion
We're united by a common purpose: to make healthcare affordable, understandable, high quality and member-focused.

Wellness and work-life balance
We'll empower you with the necessary skills and tools to support your personal wellbeing journey, ensuring you perform at your best. Our offerings include:

• 50% subsidy on HCF hospital and/or extras cover

• 18 weeks of parental leave for all new parents

• Mental health and wellbeing programs, including workshops, fitness classes, flu vaccinations, skin checks and more

• Discounts on HCF's products, including life, pet and travel Insurance, as well as discounts at Fitness First gyms and on our eyecare products.

Collaboration and inclusivity
We embrace diversity as our strength and are committed to maintaining an inclusive and collaborative work environment. Our workplace is welcoming and safe for all our employees, irrespective of their unique characteristics including age, ethnicity, cultural or spiritual background, gender identity, disability, education and socio-economic status.

Continuous learning and growth
We believe in lifelong learning. HCF provides opportunities for personal and professional development. From workshops to mentorship programs, we encourage your growth and curiosity.

Next steps

If you require any adjustments to assist you in making your application or during the recruitment or onboarding process, please reach out to Talent Acquisition –  to discuss.

We encourage applicants to submit their applications at their earliest convenience, as at HCF, we review applications as they are submitted, and may have filled the role prior to the job closing date.