Claims Processing Consultant Adelaide, South Australia

Bupa Group; Adelaide; Hybrid; AUD 70,000 - 90,000; Full time

Benefits offered by this job

Hybrid working

Structured training

Job summary

Bupa Australia in Adelaide is recruiting a Claims Processing Consultant on a 12-month fixed term contract to support our Health Insurance claims team. You will help customers and providers navigate the claims process and ensure timely, accurate resolutions.

During the first three months, training is conducted onsite at the Adelaide CBD office, followed by a hybrid working arrangement: 2 days in the office and 3 days from home, enabling flexibility while maintaining collaboration.

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
• Experience in health insurance, healthcare, claims or contact centre environments will be highly regarded, but isn’t essential.

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 skills

Prioritisation

Job description

Join Bupa and make a difference

Bupa is growing our Health Insurance team in Adelaide with this 12 month fixed term opportunity to join the Claims team.

This opportunity is 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.

• 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’t 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.