Case Specialist

Weploy; City of Parramatta; On-site; AUD 51,000 - 54,000; Full time

Benefits offered by this job

Hybrid work after training

Health and wellbeing initiatives

Modern Parramatta office

Job summary

Weploy is seeking a Case Specialist to join the Premium Administration team in Parramatta on an initial 12-month contract. You will own premium administration and remediation cases from allocation to closure, coordinating assessment, calculation, communication, payment and rectification with accuracy and fairness for members and providers.

Ideal candidates thrive with end-to-end ownership of complex cases, exercise sound judgement, and support others in case management.

Qualifications

• Experience in policy administration or remediation in a regulated environment.
• Strong numerical skills with ability to calculate/validate financial outcomes.
• High attention to detail with focus on accuracy and QA.
• Experience handling customer inquiries, complaints, or disputes.
• Proficiency with systems, spreadsheets, and case management tools.
• Excellent written and verbal communication skills.
• Ability to manage workloads, meet deadlines and work within SLAs.
• Sound judgement and ability to identify and escalate risks.

Responsibilities

• Calculate and validate remediation payments in line with approved methodologies and financial controls.
• Take end-to-end ownership of assigned remediation cases from assessment through to closure.
• Investigate payment discrepancies and resolve issues per procedures.
• Maintain accurate records, audit trails and supporting documentation.
• Act as the primary point of contact for assigned cases, responding to member and provider inquiries.
• Manage sensitive or complex cases with professionalism, empathy and sound judgement.
• Perform quality assurance checks across policy updates, calculations and communications.
• Support and coach Premium Administration Coordinators on case management and quality requirements.
• Work closely with internal teams to deliver accurate outcomes.

Skills

Policy administration

Remediation

Numerical skills

Communication

Case management

Attention to detail

Tools

Spreadsheets

Case management software

Job description

Looking for a role where you can take real ownership and make an impact?

Join a well established health fund organisation that genuinely values its people. With a supportive and welcoming team, a strong focus on employee wellbeing, and opportunities to learn and grow, you'll be part of a workplace where your contributions are recognised and your career can thrive.

If you're an experienced administrator who enjoys taking end to end ownership of complex cases, solving problems and delivering accurate outcomes, we'd love to hear from you.

• Up to 12 month contract, starting on 19 October
• Hybrid working model after training (3 days WFH, 2 days in the Parramatta office)
• $37.58 per hour + super
• Monday to Friday office hours, no weekend work!
• Modern office based in Parramatta
• Health and wellbeing initiatives that support work life balance
• A fun and engaging workplace with an active social calendar, including team events, cook off competitions and other activities throughout the year

Your Next Role

We're looking for a Case Specialist to join the Premium Administration team, taking ownership of premium administration and remediation cases from allocation right through to closure. You'll coordinate assessment, calculation, communication, payment and record rectification, making sure every case is handled accurately and delivers a fair outcome for members and providers.

This is a specialist role suited to someone who enjoys managing complex, end to end cases independently, applying sound judgement, and supporting others along the way.

What You'll Do

• Calculate and validate remediation payments in line with approved methodologies and financial controls
• Take end to end ownership of assigned remediation cases from assessment through to closure
• Investigate payment discrepancies and resolve issues in line with procedures
• Maintain accurate records, audit trails and supporting documentation
• Act as the primary point of contact for assigned cases, responding to member and provider enquiries
• Manage sensitive or complex cases with professionalism, empathy and sound judgement
• Perform quality assurance checks across policy updates, calculations and communications
• Support and coach Premium Administration Coordinators on case management and quality requirements
• Work closely with various internal teams to deliver accurate outcomes

What You'll Need

• Experience in policy administration, remediation or a regulated environment
• Strong numerical skills with experience calculating or validating financial outcomes is desirable
• High attention to detail with a strong focus on accuracy and quality assurance
• Experience managing customer enquiries, including complaints or dispute resolution
• Confidence working with systems, spreadsheets and case management tools
• Excellent written and verbal communication skills
• Proven ability to manage workloads, meet deadlines and work within SLAs
• Sound judgement and the ability to identify and elevate risks

What's Next?

If you're looking for an opportunity to join an organisation that values its people, invests in their development and offers genuine long term career opportunities, we'd love to hear from you.

Please specify whether you are an AU citizen, PR or visa holder. For visa holders please outline which visa type you hold and the expiration date. Please note that this up to 12 months contract meaning you need unrestricted work rights for that period. *