Claims Consultant, Hospital

7 days ago

Melbourne, Victoria, Australia Australian Unity Full time

**Permanent opportunity within our Health Insurance business in Melbourne**:

- **Manage tasks relating to the handling of claims received from hospital/medical providers**:

- **Real Wellbeing starts here**

**What makes us, us**

Established in 1840, we're Australia's first member-owned wellbeing company, delivering health, wealth and care services to more than 700,000 Australians. Today, while we've grown to a company of nearly 7000 employees, our focus remains the same as it was 180 years ago — to deliver Real Wellbeing for our customers, members and the community.

We support your Real Wellbeing so you can better support our members' and customers' wellbeing journey

There are four key attributes that set us apart:

- **Good people**: We strive to set ourselves apart through the capability, warmth and expertise of our people.
- **Wellbeing experts**: Our breadth of capability enables us to provide smart solutions and services across all domains of wellbeing.
- **Long-term commitment**: As a member-owned company, we've been focusing on long-term outcomes and single-minded dedication to our members and customers since 1840.
- **Driving positive impact**: Everything we do is focused on making a positive difference at a personal, community and societal level.

These pillars are infused with our values of **bold**, **warm** and **honest**

**Our Opportunity**

Reporting to the Hospital and Medical Team Leader, the Claims Consultant will be responsible for a range of tasks relating to the handling of claims received from Hospital and Medical Providers. This includes assessing of claims in line with business fund rules, product and core systems. This role is within the Customer Operations team within Health Insurance.
If you are a friendly and hard-working individual with strong attention to detail and thrives in working within a collaborative and supportive team; we would like to hear from you

**What you will do**
- Assessing Hospital and Medical claims, as well as assessing exception reporting.
- Coaching Providers through customer contact for incorrect billing practices.
- Identify inappropriate claims and ensure that money is paid appropriately when releasing claims.
- Ensure that communication is of a high level and complies with Australian Unity standards.
- Maintain standard templates, procedures and protocols to compliance requirements
- Identify control gaps in existing processes and recommend improvements
- Ensure that all processes are clearly documented

**What we are looking for**
- Previous experience in a claims assessing role
- Excellent time management and prioritisation skills
- Strong stakeholder management skills
- Strong attention to detail

**Our Benefits**

You will enjoy a range of great employee benefits and rewards including:

- Competitive Remuneration
- A range of attractive product and service discounts from Australian Unity's Retail and Wealth Management portfolio - including health insurance and banking products
- Flexible Working Arrangements including Work-From-Home days with a real work-life balance
- Available access to LinkedIn Learning courses through our great Learning platform
- Additional paid Wellbeing and Volunteer leave days yearly

**Where to from here?

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