Senior Hospital Claims Assessor

2 weeks ago

Sydney, Australia Teachers Health Full time
  • 6 weeks of annual leave
  • Hybrid working model
  • 35 hour working week

Senior Hospital Claims Assessor / 2IC Team Leader - Hospital Claims  

Are you a seasoned Hospital Claims Assessor ready to elevate your career? Step up as a pivotal second-in-command and play a vital role in shaping our high-performing Hospital Team

We’re looking for a skilled, experienced professional to assist the Team Leader in driving excellence, meeting performance targets, and ensuring compliance with service standards.

In this exciting opportunity, you'll lead by example, support team growth, and serve as a subject matter expert and process owner within the hospital claims space. If you're ready for a new challenge and eager to make an impact, this could be for you 

What we have to offer?
We at Teachers Health have a lot to offer, 

  • 6 weeks of annual leave
  • Hybrid working model
  • 35 hour working week
  • Subsidised private health insurance and discounts on our products and services
  • Fantastic central location in Surry Hills 
  • Employee well-being programme 
  • An annual corporate wardrobe allowance 
  • 18 weeks paid parental leave for eligible employees 
  • Additional long service leave  

Who are we?
Teachers Health was created by teachers for teachers over 70 years ago and is the only health fund exclusively for the education community. As a not-for-profit health fund, we exist for our members covering the lives of over 400,000 teachers, education staff & their families.
  
What will you do? 
Some of your key responsibilities, but not limited to would be;

• Assist in the daily management of the Hospital team by planning, organising, monitoring and controlling the allocated work activities
• Forecast and resource plan for incoming work items to ensure appropriate staff availability
• Provide technical expertise and source appropriate resources so that overall team performance improves to match agreed targets
• Provide a high standard of customer service by dealing with escalated enquiries from team members and/or THF Management where delegated
Assist the team in processing incoming work accurately and efficiently, maintaining service level agreements
• Provide high quality customer service and effectively communicate to both internal and external stakeholders
• Assist to resolve member complaints, ombudsmen referrals, or escalated issues as required
• Provide input and support in conducting monthly team meetings.
• Maintain and improve skill level of team members through training, coaching and feedback activities
• Maintain currency in HAMBs system and relevant THF in-house technology applications (e.g. Word, Excel, E5 and ProMapp) with a view to improve where applicable
• Provide SME support by contributing to continuous improvement initiatives that align with business plan and strategy
• Review and report on trends, claiming patterns, and member behaviours as required
• Support, train and assist change management across the Hospital Team for various initiatives and projects
• Review and hold a working knowledge of Health and PHI industry and legislative changes to ensure processes, policies, and products are current and competitive with industry standards

What are we looking for?

  • Minimum 5 years experience as a Hospital Claims Assessor
  • Minimum 1 year experience supervisory or leadership experience
  • Certificate IV in Business, Management or Equivalent
  • Claims/Membership processing experience within the private health insurance industry (desirable)
  • Experience with coaching, training and providing feedback 
  • Excellent written and verbal communication skills  

How do I apply?
Click APPLY NOW and send in your updated CV and an (optional) cover letter, telling us why you would be a good fit for the role.

Teachers Health values diversity and inclusion and encourages applications from people with diverse backgrounds including First Nations people, people with disability, people from diverse cultural and linguistic backgrounds, and people that identify as LGBTQIA+. Applicants can request an adjustment at any stage during the recruitment process by getting in touch with jobs@teachershealth.com.au

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