Claims Operations Team Leader

Bupa; South Australia; Hybrid; AUD 80,000 - 100,000; Full time

Job summary

A leading health insurance provider in South Australia is seeking an experienced Operations Team Leader to manage a team of Hospital Claims Consultants. The role involves ensuring compliant claims processing, fostering a customer-focused culture, and driving operational excellence. Ideal candidates will have a proven track record in leadership, a strong grasp of process and risk, and excellent analytical skills. The position offers hybrid working arrangements and attractive benefits, including subsidized health insurance and discounts on various services.

Benefits

Fully subsidised Bupa health insurance

Discounts on travel, home, dental, and optical services

Additional day of annual leave for wellbeing

Paid volunteer day each year

Qualifications

• Proven experience leading medium to large operational teams (15+ consultants).
• Experience in hospital claims, health insurance, or regulated financial services is preferred.
• Strong reporting, analytical and problem-solving capability.

Responsibilities

• Lead, coach and develop a team of 15–18 Hospital Claims Consultants.
• Drive operational excellence across people, process, and technology.
• Manage workflow, resourcing, and service levels to meet SLAs.

Skills

Leadership

Operational excellence

Analytical skills

Stakeholder engagement

Problem-solving

Job description

Hybrid Working | Adelaide, SA | Attractive Salary + Benefits

We are seeking an accomplished Operations Team Leader to lead and develop a team of 15–18 Hospital Claims Consultants within a structured, process‑driven environment. This role is ideal for a highly capable leader who combines operational excellence, strong financial and reporting capability, and genuine people leadership.

Experience in health insurance or hospital claims processing is preferred but not essential. What matters most is proven success leading operational teams, a strong understanding of process and risk, and the ability to translate data and insight into meaningful performance outcomes.

Reporting to the Senior Operations Manager, you will be responsible for the day‑to‑day operational performance of a hospital claims function, ensuring accurate, timely and compliant claims outcomes while fostering a professional, engaged and customer‑focused culture.

This position offers a hybrid working model based in Adelaide, an attractive salary, and the opportunity to play a key leadership role within a complex, regulated environment.

Key Responsibilities

• Lead, coach and develop a team of 15–18 Hospital Claims Consultants
• Drive operational excellence across people, process and technology
• Ensure accurate and compliant processing of hospital claims in line with policy, legislative and regulatory requirements
• Manage workflow, resourcing and service levels to consistently meet SLAs
• Deliver targeted performance and behavioural coaching aligned to operational and quality targets
• Analyse operational and financial reports, identify trends and insights, and implement improvement actions
• Promote continuous improvement, efficiency and automation initiatives
• Partner closely with risk, compliance, quality and process design teams
• Build strong relationships with internal stakeholders, medical providers and external partners
• Ensure all risk, compliance, and governance obligations are met

About You

You are a structured, detail‑oriented leader who understands the importance of strong process, risk awareness and disciplined execution in claims‑based environments. You lead with professionalism and empathy, creating clarity, accountability and confidence within your team.

You will bring :

• Proven experience leading medium to large operational teams (15+ consultants)
• Experience in hospital claims, health insurance, or regulated financial services (preferred)
• Strong reporting, analytical and problem‑solving capability
• Sound financial and commercial acumen
• Demonstrated experience in performance management and coaching
• A strong understanding of risk, compliance and quality frameworks
• Excellent stakeholder engagement and communication skills
• Ability to thrive in fast‑paced, high‑volume operational environments

Support Every Step of the Way

At Bupa, our people are at the heart of everything we do. Our global wellbeing program is designed to support your mental, physical, financial, social, and environmental health—ensuring you thrive both professionally and personally.

Our employee benefits include :

• Fully subsidised Bupa health insurance
• Discounts on travel, home, dental, and optical services
• Exclusive savings with partner brands such as Apple, Endota Spa, and New Balance
• One additional day of annual leave each year for your wellbeing
• A paid volunteer day each year to give back to the community

We are committed to creating a safe and inclusive workplace that reflects the diverse communities we serve. Applicants from all backgrounds are encouraged to apply. If you require any adjustments during the recruitment process, please let us know when submitting your application.

Join us and discover how wellbeing goes beyond the workplace.