Claims Assessor

Southern Cross Health Insurance; Hamilton; Hybrid; CAD 55,000 - 70,000; Full time

Benefits offered by this job

Wellbeing leave (5 days/year)

Health insurance for you and family

Life insurance + discounts on pet and

Travel insurance discounts

Job summary

Southern Cross Health Insurance is seeking a proactive Claims Assessor to join our Hamilton team. You will evaluate pet insurance claims, determine coverage, and uphold service excellence with accuracy and empathy.

This role requires meticulous attention to policy details, fast decision-making, and a collaborative, agile approach to work. You will contribute to customer satisfaction while supporting your personal and professional growth within a values-driven environment.

Qualifications

• Experience in a similar role making decisions and judgement calls.
• Eye for detail with ability to double check work for accuracy.
• Interest in processes and supporting defined policy standards.
• Fair, empathetic and logical approach to decisions.
• Organised team player who can work resiliently and collaboratively.
• Agile-minded with flexible and adaptive work ethic.
• Ability to maintain confidentiality in all dealings.
• Develop effective relationships across levels of the organisation.
• Shows initiative and takes responsibility for actions.
• Seeks opportunities to improve procedures and processes.
• Passion for caring for pets.

Responsibilities

• Analyse claims and decide if they are covered by policies.
• Deliver operational excellence with fair, accurate outcomes for customers.
• Support world-class service with a decisive, fact-based approach.
• Maintain rapid claims turnaround through efficient work pace.
• Invest in personal development to build skills and contribute to strategy.
• Demonstrate passion for care of customers and their pets.

Skills

Decision making

Attention to detail

Policy understanding

Empathy

Team player

Agile mindset

Confidentiality

Relationship building

Initiative

Process improvement

Pet lover

Job description

About Us

Southern Cross Health Insurance is shaping a healthier Aotearoa New Zealand. Our purpose is simple: empowering our members to live well for longer. We're here to give peace of mind through timely access to quality care, inspire healthier living, and lead positive change across the health system. As a New Zealand-owned, member-based organisation, we're building a future where wellbeing is at the heart of everything we do -- delivering exceptional value for our members and creating an environment where our people thrive.

Southern Cross Health Insurance is shaping a healthier Aotearoa New Zealand. Our purpose is simple: empowering our members to live well for longer. We're here to give peace of mind through timely access to quality care, inspire healthier living, and lead positive change across the health system. As a New Zealand-owned, member-based organisation, we're building a future where wellbeing is at the heart of everything we do -- delivering exceptional value for our members and creating an environment where our people thrive. Now is an exciting time to join us. You'll be part of a high-performing, values-driven team where people are at the heart of everything we do -- and in return for your talent, you'll have the opportunity to grow, make an impact, and be proud of the difference your work makes.

About The Role

We’re on a mission to protect the pet life and boost the quality time we have with our furry friends. Whether that’s boredom busters, tips and tricks for staying healthy, or helping them stay safe from harm. We’re with you to help your pets live their best pet lives for longer.

We pride ourselves on giving our customers, and their pets, the best experience possible so you will need to be driven, have proven high performance, thrive in an agile environment and be passionate about growing within your role.

We are looking for Claims Assessor superstars to join our claims assessing team in Hamilton.

You will have a professional and proactive nature, coupled with strong attention to detail that enables you to make strong decisions.

You will assess claims and support our customers with their pets

• Analysing claims and deciding whether they are covered by our policies
• Delivering operational excellence by achieving fair, accurate outcomes for our customers
• Supporting a world class service for our customers through a decisive and fact-based approach
• Working at pace to maintain a rapid claims turnaround time
• Investing in your personal development to build skills and contribute towards our business strategy
• Having a real passion for the care of our customers and their pets

What We Are Looking For

• Experience in a similar role where decision-making and judgement calls are made
• An eye for detail, with the focus to double check work to ensure accuracy
• An interest in processes and supporting defined policy standards
• A fair, empathetic and logical approach to making decisions
• A team member who is organised and able to work in a resilient way
• A team player with the ability to work collaboratively with individuals and departments
• An agile mindset along with a flexible and adaptive work ethic
• Ability to maintain confidentiality in all dealings
• Develop effective relationships across the organisation with all levels of employees
• Shows initiative and takes responsibility for own actions
• Seeks opportunities to improve work proceduresand processes
• Most of all a lover of all pets big or small

In your cover letter, please address the following questions so we can get to know a bit more about you! Why are you interested in working in the pet insurance industry? What unique skills make you stand out from a crowd?

Ngākau nui. Āhurutanga. Tikanga.

Join a proud diverse team, that's always there, always real, always true. If you thrive in a caring, honest and open culture, we think you’ll love working with us.

We know that it is our team’s culture and wellbeing that will drive us forward. That’s why we prioritise not only professional development opportunities but opportunities to thrive personally, too. We offer exceptional work/life balance and our employees are encouraged to – and rewarded for – living well.

Southern Cross employee benefits include:

• Five days of wellbeing leave per year
• Health insurance for you and your immediatewhānau
• Life insurance cover and discounts on pet and travel insurance
• Extra parental leave benefits and financial wellbeing support
• Participate in our workplace wellbeing programme.

That’s not all. Need more time to study, volunteer or support your whānau? You’ll have the opportunity to purchase flexi leave. Each year, you will also get to take part in a volunteer day, to contribute to a cause or community with your team.

We are proud to have taken the Pride Pledge, reflecting our commitment to inclusion and belonging. We also facilitate an active, employee‑led Diversity, Equity and Inclusion Forum, which includes our Rainbow Network, Māori Network, Pasifika Collective, and Neurodiversity and Whānau Support networks.

If you share our commitment and passion, we'd love to hear from you.