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Claims Processing Consultant

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Bupa

Jan 14

Applications are closed

  • Job
    Full-time
    Entry Level
  • Customer Relations
    Healthcare
  • Adelaide

Requirements

  • Strong written and verbal communications skills
  • Highly proficiency in computer literacy and ability to navigate through multiple systems and processes is essential
  • Superior attention to detail and ability to work under pressure and meet timelines
  • Be a self-starter with a proactive mindset
  • Problem solving attitude with a focus on customer experience
  • The ability to work autonomously with great time management skills

Responsibilities

  • End to end claims assessment of Hospital, Medical and Ancillary claims
  • Communicate with claimants, policyholders, and third parties to clarify claim details or request additional information
  • Gather and analyse evidence to determine the validity and potential impact of claims
  • Proactively identify process improvement and self-service opportunities to support customer needs
  • Provide best in class service to customers and providers both via phone (inbound and outbound) and written correspondence including account queries
  • Ensure all claims processing activities comply with relevant industry regulations, legal requirements, and company standards
  • Keep up to date with changes in regulations, laws, and best practices that affect claims processing

FAQs

What is the start date for the Claims Processing Consultant position?

The start date for the Claims Processing Consultant position is February 2025.

Where is the initial location for this role?

The role will be based in our Adelaide office for the first 3 months.

Will there be an opportunity to work from home?

Yes, after the initial 3 months and once you and your team leader agree you have settled well, the opportunity to work from home will be available.

Is previous experience in Health Insurance claims required for this role?

No, previous experience in Health Insurance claims is not required as we offer a comprehensive training program.

What qualities are we looking for in a candidate?

We are looking for candidates with strong written and verbal communication skills, high computer literacy, attention to detail, a proactive mindset, problem-solving attitude, and excellent time management skills.

What types of claims will I be processing in this role?

You will be responsible for managing complex customer and provider Health Insurance claim requests for Ancillary, Medical, and Hospital Claims.

What kind of training will be provided to new employees?

We offer a comprehensive training program to help new employees understand the claims processing responsibilities and procedures.

What benefits does Bupa offer to its employees?

Bupa offers fully subsidised health insurance products, discounts on travel and home products, additional leave for wellbeing and volunteering, and more through an extensive partner network.

Are there opportunities for professional development within Bupa?

Yes, Bupa supports professional development and encourages employees to grow within their roles.

How does Bupa support employee wellbeing?

Bupa has a global wellbeing program that covers mental, physical, financial, social, and environmental wellbeing, providing health benefits, information, and support for all employees.

Our purpose is helping people live longer, healthier, happier lives and making a better world.

Science & Healthcare
Industry
10,001+
Employees
1947
Founded Year

Mission & Purpose

upa's purpose is helping people live longer, healthier, happier lives and making a better world. We are an international healthcare company serving over 38 million customers worldwide. With no shareholders, we reinvest profits into providing more and better healthcare for the benefit of current and future customers. We directly employ around 85,000 people, principally in the UK, Australia, Spain, Chile, Poland, New Zealand, Hong Kong SAR, Türkiye, Brazil, Mexico, the US, Middle East and Ireland. We also have associate businesses in Saudi Arabia and India.

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