Member Claims Specialist

About The Role

Join the HCF Claims team located at our Parramatta contact centre. As a Member Claims Specialist, you will primarily focus on resolving member queries on the first call, assessing and processing health insurance claims promptly to facilitate timely reimbursements. You will also provide assistance to both Contact Centre and Branch teams with more complex claims inquiries.

This position is offered as a 12-month maximum term contract, based onsite at Parramatta. The standard working hours are Monday to Friday, 9:00 am to 5:15 pm, with hybrid work arrangements available following the training phase. A minimum of two days per week in-office attendance is required.

Key Responsibilities

• Handle all member calls, reviewing and assessing claims accurately.
• Demonstrate empathy, patience, and exceptional care in all member interactions.
• Address all claims-related enquiries adhering to service quality and processing standards.
• Identify areas to enhance customer service and deliver exemplary support.
• Offer support for complex claims queries to Contact Centre and Branch colleagues.
• Manage complaints professionally, providing resolutions over the phone.

Candidate Profile

• Thorough understanding of private health insurance products and ancillary claims processes.
• Proficient with Claims Portal, Elmo, New Health, and GV systems.
• Ability to perform effectively under pressure.
• Strong dedication to delivering outstanding customer service.
• Positive mindset and adaptability to change.
• Excellent verbal and written communication skills.
• Accurate typing and data entry capabilities.
• Motivated to continuously develop professional skills and knowledge.

About HCF

HCF is Australia's largest not-for-profit health fund with over 2 million members. Since 1932, we have focused on providing health, life, travel, and pet insurance with a mission to make healthcare understandable, affordable, high quality, and member-centered. Our values include empathy, collaboration, and continuous improvement to achieve this mission.

Culture & Benefits

We foster a supportive, purpose-driven workplace promoting employee wellness and work-life balance. Benefits include:

• Flexible work arrangements.
• 50% subsidy on HCF hospital and/or extras cover.
• Recognition as a family-friendly employer.
• 18 weeks parental leave for all new parents.
• Mental health and wellbeing initiatives including workshops, fitness classes, flu vaccinations, and skin checks.
• Discounts on HCF products and services, including life, pet and travel insurance, Fitness First gym memberships, and eyecare products.

Inclusion & Development

HCF values diversity and inclusion, ensuring a welcoming environment for all employees regardless of background or personal circumstances. We support ongoing learning through workshops and mentorship, encouraging personal growth and curiosity.

Additional Information

If you need any accommodations during the application, recruitment, or onboarding stages, please contact Talent Acquisition to discuss your needs.

Applications are reviewed on a rolling basis, so early submission is encouraged as the role may be filled prior to the closing date.