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.

About the Opportunity:

We are looking for a detail focused and customer minded Claims Consultant to join our Hospital & Medical team within Health Insurance Operations.

In this role, you will be responsible for assessing hospital and medical claims, ensuring they are processed accurately, efficiently, and in line with fund rules and business policies. You will work closely with hospitals, doctors, and providers to resolve claim issues, support billing accuracy, and deliver positive customer outcomes.

This is a great opportunity for someone who enjoys working in a fast-paced operational environment, has strong attention to detail, and takes pride in delivering high quality outcomes.

What you’ll do

• Assess hospital and medical claims in line with fund rules and policies
• Investigate claim exceptions, discrepancies, and billing issues
• Liaise with hospitals, doctors, and medical providers regarding claims queries
• Identify incorrect or inappropriate claims before payment is released
• Ensure claims are processed accurately and within service standards
• Maintain compliance with operational procedures and governance requirements
• Support continuous improvement initiatives across claims processes
• Contribute to a collaborative and customer focused team culture

About You:

You will bring previous experience in claims, healthcare administration, insurance, or a similar operational environment where accuracy and attention to detail are critical. You are confident working with systems, processes, and policies, and can make sound decisions while managing competing priorities. Strong communication skills are essential, as you will regularly engage with providers and internal stakeholders to resolve issues and improve outcomes. A continuous improvement mindset, strong time management skills, and a genuine commitment to customer service will set you up for success in this role.

Why Join Us?

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
• 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.