Member Claims Advisor

Hif Australia; Perth; Hybrid; AUD 60,000 - 86,000; Full time

Benefits offered by this job

13% Superannuation

Subsidised health insurance

Additional Purchased Leave

Nine Day Fortnight

Hybrid work arrangement

Birthday leave

Employee Assistance Program

PAW Days

Perth CBD office access

Study assistance

Social Club

Job summary

HIF is a close-knit, member-owned organisation headquartered near Perth. We are currently seeking a full-time Member Claims Advisor to join our Claims team and deliver exceptional member service.

You will process and audit health insurance claims, interact with Members via phone, email, and in person, and stay updated on policy changes. The induction, hybrid work, and comprehensive benefits support your growth.

Qualifications

• Understanding of the Australian health industry, including health insurance, hospitals, and allied health.
• Proficiency in Microsoft Office suite (Excel, Word, PowerPoint).
• Experience in the health sector, ideally within health insurance, hospitals, medical practices, or allied health.

Responsibilities

• Accurately process and audit health insurance claims, ensuring compliance with fund policies and procedures.
• Identify and rectify inconsistencies in claims data, enhancing the accuracy of member records.
• Engage with Members through various channels (phone, email, face-to-face) to address policy, product, and membership inquiries.
• Utilise training materials to navigate complex policy requirements and provide comprehensive information to Members.
• Stay updated on internal processes and product changes to offer up-to-date assistance.
• Collaborate across teams, contributing to various roles within Operations as needed.

Skills

Customer service

MS Office

Health insurance knowledge

Tools

Microsoft Excel

Outlook

Job description

Job Description

HIFis aclose-knit, member-owned organisationwith a team of125 passionate employees, headquartered on Stirling Street, just a stone's throw from the Perth CBD. We are avalues-driven organisation where our cultureis built on trust, open communication, and supporting each other to do our best work – because we know that when our people thrive, so do our members.

In 2025, HIF was recognised as an Employer of Choice, acknowledging our commitment to creating a workplace where people feel supported, valued and able to thrive. We have also proudly held Inclusive Employer certification from the Diversity Council of Australia since 2023.

While these certifications matter, what matters most to us is that they reflect the real, everyday experience of our people. At HIF, inclusion and culture are not just policies or frameworks – they are lived through the way we lead, support one another, and show up for our people each day. JoiningHIFmeans contributing to a workplace where people feel supported, challenged, and inspired to make a real difference every day.

We're currently looking for a full-time Member Claims Advisor to join our Claims team.

About The Role

Are you a detail-oriented individual with a passion for providing exceptional customer experiences? Join us as a Member Claims Advisor and be an essential part of HIF's Member Claims team – the forefront of our commitment to outstanding Member service.

To thrive in this role and achieve success, the following criteria must be embraced:

• We offer an extensive Induction Program designed to ensure your success. We're looking for your dedication to successfully complete a thorough 5-week full-time paid induction training at our Perth Office, beginning on 5th October 2026. This training will provide you with the expertise and abilities required to thrive in your position.
• Proficiency in intermediate computer skills, including Word and Outlook. These tools will be essential for efficient communication and documentation.
• A genuine desire and aptitude for learning about Health Insurance products. You should be enthusiastic about understanding our offerings and confidently discussing them with our valued Members.

Key Responsibilities

• Accurately process and audit health insurance claims, ensuring compliance with fund policies and procedures.
• Identify and rectify inconsistencies in claims data, enhancing the accuracy of member records.
• Engage with Members through various channels (phone, email, face-to-face) to address policy, product, and membership inquiries.
• Utilise training materials to navigate complex policy requirements and provide comprehensive information to Members.
• Stay updated on internal processes and product changes to offer up-to-date assistance.
• Collaborate across teams, contributing to various roles within Operations as needed.

Qualifications And Experience

• Demonstrated understanding of the Australian health industry, including health insurance, hospitals, and allied health services.
• Proficiency in Microsoft Office suite (Excel, Word, PowerPoint).
• Experience in the health sector, ideally within health insurance, hospitals, medical practices, or allied health.

What You'll Get

In addition to the opportunity to make a significant impact within our exceptional team, we offer a comprehensive benefits package designed to enhance your professional and personal life. You will enjoy:

• A generous 13% superannuation contribution
• Subsidised health insurance cover
• Discounted travel insuranceFlexible work options including Additional Purchased Leave and Nine Day Fortnight available following completion of probationary period
• Hybrid working arrangements available once you've completed induction, passed probation and demonstrated role competence. Hybrid work includes 60% in-office requirement
• Birthday leave to celebrate your special day
• A variety of leave entitlements, including cultural, reproductive, volunteering leave and more
• Fun and inclusive social events through our Social Club
• Study assistance to support your learning
• Access to a confidential Employee Assistance Program
• PAW Days - bring your furry friend to work!
• A modern, community focused office close to Perth CBD with excellent transport access

Key Dates & Application Info

• Induction start date: Monday 5th October 2026
• Applications close: Wednesday 9th September 2026
• We ask that no leave be taken during the first 3 months to ensure full participation in training and onboarding, and to allow for consolidation of learning.

Inclusion Matters

Aboriginal and Torres Strait Islander peoples are encouraged to apply for this opportunity.

HIF encourages cultural diversity and is an equal opportunity workplace. We are committed to creating an inclusive culture for all employees.