Claims Processing Consultant

Bupa Australia; Adelaide; Hybrid; AUD 60,000 - 80,000; Full time

Benefits offered by this job

Hybrid after training

Health insurance subsidy

Wellbeing day

Job summary

Bupa Australia is expanding its Health Insurance team in Adelaide with multiple opportunities across Hospital Claims and Ancillaries (Extras). The 12-month fixed-term positions offer training and a pathway to a rewarding career in health insurance.

As a Claims Processing Consultant, you’ll help customers and providers navigate the claims process, ensuring accurate assessments and timely resolutions. You’ll train onsite for the first three months in our Adelaide CBD office and then move to a

Qualifications

• Experience in customer service, administration, claims or a similar environment.
• Strong attention to detail and problem-solving skills.
• Excellent written and verbal communication.
• The ability to manage competing priorities.
• Confidence working across multiple systems.
• A positive, professional and customer-first approach.

Responsibilities

• Assess and process health insurance claims.
• Manage complex and exception claims.
• Respond to customer and provider enquiries.
• Work across multiple systems and applications.
• Investigate issues and identify solutions.
• Build strong relationships with customers, providers and internal stakeholders.
• Identify opportunities to improve processes and customer outcomes.
• Work within relevant policies, procedures and regulatory requirements.

Skills

Customer service

Attention to detail

Communication

Prioritisation

Systems literacy

Job description

Adelaide CBD | Hybrid Working | Multiple Opportunities | 12-Month Fixed Term

Join Bupa and make a difference

Bupa is growing our Health Insurance team in Adelaide, with multiple opportunities available across Hospital Claims and Ancillaries (Extras).

These 12-month fixed-term opportunities are a great chance to join a supportive team, build valuable health insurance experience and develop your career with Bupa.

Whether you have experience in claims, customer service, healthcare or administration, we’ll provide the training and support you need to succeed.

About the Role

As a Claims Processing Consultant, you’ll help our customers and providers navigate the claims process, ensuring claims are assessed accurately and resolved efficiently.

Depending on your team, you’ll work across Hospital or Ancillaries (Extras) claims and will:

• Assess and process health insurance claims
• Manage complex and exception claims
• Respond to customer and provider enquiries
• Work across multiple systems and applications
• Investigate issues and identify solutions
• Build strong relationships with customers, providers and internal stakeholders
• Identify opportunities to improve processes and customer outcomes
• Work within relevant policies, procedures and regulatory requirements

What You’ll Bring

We’re looking for people who are customer-focused, detail-oriented and eager to learn.

You’ll ideally have:

• Experience in customer service, administration, claims or a similar environment
• Strong attention to detail and problem-solving skills
• Excellent written and verbal communication
• The ability to manage competing priorities
• Confidence working across multiple systems
• A positive, professional and customer-first approach

Experience in health insurance, healthcare, claims or contact centre environments will be highly regarded, but isn’s essential.

Training & Hybrid Working

We’re committed to setting you up for success.

For your first three months, you’ll complete comprehensive training onsite at our Adelaide CBD office.

Following training, you’ll move to our hybrid working arrangement:

2 days in the office | 3 days working from home

This provides the flexibility of working from home while maintaining regular opportunities to connect and collaborate with your team.

Why Bupa?

• Multiple opportunities across Hospital and Ancillaries (Extras)
• Comprehensive training and ongoing development
• Hybrid working after your initial training period
• Fully subsidised Bupa health insurance
• Additional annual wellbeing day and paid volunteer leave
• Access to wellbeing programs and lifestyle discounts
• Supportive and inclusive team culture
• Opportunities to build your skills and career with Bupa
• The chance to contribute to meaningful remediation and transformation initiatives

Our Commitment to Inclusion

At Bupa, we believe diversity makes us stronger. We welcome applications from people of all backgrounds and experiences, including First Nations peoples, veterans, people with disabilities, and members of the LGBTQIA+ community.

If you require any adjustments throughout the recruitment process, we’re here to support you.