Claims Consultant

About us

Established in 1840, we are Australia’s first wellbeing company, delivering health, wealth and care services for our members and the community.

As a social enterprise, we’re motivated by our purpose to positively impact the wellbeing of millions. We reinvest profits to deliver products and services sustainably that matter most to our members, customers and the Australian community.

For us, Real Wellbeing encompasses the whole experience of life. It’s about feeling supported in your health, connected with your community and empowered to live life on your terms.

Your New Role Looks Like This:

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 Healthcare Management & Product 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!

Key Responsibilities Include:

• Assessing Hospital and Medical claims
• Assess exception reporting
• Coaching Providers through customer contact for incorrect billing practices.
• Comply with all fund and claim rules.
• Identify inappropriate claims through on the job exposure and experience from attention to detail.
• 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
• Passion for process improvement with members at front and centre of mind

About You:

• Previous experience in PHI or a claims assessing role preferred
• Excellent time management and prioritisation skills
• Strong stakeholder management skills
• Strong attention to detail

What’s on Offer:

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

• Competitive salary + bonus program
• Enjoy additional yearly Well-Being and Community leave days
• 14-week paid parental leave, with equal benefit for both parents PLUS our Bump to Baby
• Employee Referral Program
• Employee Assistance Program – support and assistance for you and your partner at those times in life when you need it most
• Maxxia Rewards - a great range of discounts and benefits at selected retail outlets, department stores, attractions, travel, cinemas, restaurants.
• Discounts across the Australian Unity business including Private Health Insurance, General Insurance + more!
• Available access to LinkedIn Learning courses through our great Learning platform

For further benefits visit: https://www.australianunity.com.au/careers/culture

Australian Unity is an Equal Opportunity employer and we encourage applications from all members of the community, including people of Aboriginal and Torres strait Islander descent, culturally and linguistically diverse backgrounds and, mature aged people.