Medical Claims Team Leader

1 month ago

Parramatta, Australia HCF - Member Service Full time

About the Role

As Team Leader, you are responsible for the Medical Claims team achieving their objectives of processing a high volume of claims. You will also manage the development of the team.

Balancing productivity and meeting service SLA’s are critical to this role.

About HCF

HCF is Australia's largest not-for-profit private health insurer. Our vision is to make health care understandable, affordable, high quality and customer centric.

About the Role

As Medical Team Leader you will manage a team of claims assessors, building a culture of service excellence ensuring the team exceed service SLA's. 

You will provide direction, empower and motivate the team in order to achieve businesses unit, team and individual goals. 

  • Monitor team and individual productivity through daily and monthly reporting
  • Manage and adjust team resources to meet KPI’s and SLA’s
  • Staff performance (KPI’s) are reviewed on a monthly basis and appropriate feedback given in monthly 1:1’s
  • Regular communication with staff which includes daily huddles and monthly communication meetings with documented agendas and minutes
  • Effective people management which includes recruiting, on boarding, coaching, developing and mentoring team members
  • Manage team attendance and ensure all leave is submitted and approved in PRECEDA as outlined in HR guidelines
  • Ensure individual and team milestones are acknowledged and recognised and high / exceptional performance is rewarded
  • Teamwork and co-operation amongst team members is encouraged
  • Multi-skilling of staff is encouraged and utilised across teams to meet SLA’s
  • Assess and review claims in accordance with Fund Rules eliminating overpayments/unnecessary rejections

About your experience

To be successful in this role you will demonstrate the below experience

  • Excellent people management skills
  • Sound knowledge of all automated and claims systems including ACMEII, WHICS, ECLIPSE, PreMac, MPPA, HPP/PA, Medicover 
  • Strong customer service focus
  • Proven ability to perform in a similar role
  • Ability to demonstrate the understanding of HCF policies and procedures
  • Ability to work under pressure and lead by example
  • Collaborative approach
  • Excellent verbal and written communication skills
  • Ability to adapt positively to frequently changing work practices and needs
  • Desire to learn and develop others
  • Sound organisational skills and ability to perform required tasks on a timely basis with minimal supervision
  • Demonstrated commitment to service quality
  • Professional presentation and manner

Benefits & culture

We believe in developing our people to assist in driving continuous improvement within the organisation. At the same time we are dedicated to creating a working culture where staff members can flourish. We work hard to ensure that all our positions are challenging and rewarding, where you can utilise and further develop your skills to truly make a difference

Benefits

  • Subsidised health cover, pet & travel insurance
  • Flexible work arrangements
  • Family & Friends day (an additional days leave)
  • Organisational wide Recognition & Rewards program
  • Generous Parental Leave Scheme
  • Certified Family Friendly Workplace
  • Health & Wellbeing Initiatives

At HCF, we are dedicated to fostering an inclusive and collaborative work environment that upholds our core values. We look for the human in each other and use that to guide what we do and how we do it.  HCF takes pride in our diverse workforce and inclusive workplace culture and we celebrate the richness of perspectives brought by individuals with different backgrounds and experiences, including age, ethnicity, cultural or spiritual background, gender identity, disability, education, and socio-economic status.   

All suitably qualified applicants will receive fair and equitable consideration for employment. If you require any adjustments to assist you in making your application or throughout the selection or onboarding process, please reach out to vacancy@hcf.com.au and we will make every effort to assist you. 

To submit your application, apply via the link today

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