Health Claims Specialist (Hybrid)

Bupa Australia; 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

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.