Claims Assessor

Southern Cross Medical Care Society; Hamilton; On-site; NZD 52,000 - 70,000; Full time

Benefits offered by this job

Wellbeing leave

Health insurance

Life insurance + discounts on pet &amp

Parental leave

Wellbeing programme

Flexi leave

Volunteer day

Diversity networks

Job summary

Southern Cross Health Insurance in Hamilton is seeking Claims Assessors to evaluate pet insurance claims and determine coverage decisions. You will apply policy rules with attention to detail, ensure fair outcomes for customers, and support a high-velocity claims process. A proactive, confidential, and collaborative approach is essential.

Join a values-driven team focused on quality, development, and delivering outstanding customer experiences for pets and their families.

Qualifications

• Experience in a similar role with judgement calls.
• Eye for detail and accuracy in work.
• Ability to maintain confidentiality in all dealings.
• Collaborative mindset and strong teamwork.
• Flexible, agile approach to changing priorities.

Responsibilities

• Analyze claims and decide coverage under policies.
• Deliver timely, fair outcomes for customers.
• Support high-quality service with a fact-based approach.
• Maintain rapid claims turnaround and continuous improvement.
• Develop personal skills and contribute to business strategy.

Skills

Decision making

Attention to detail

Confidentiality

Team collaboration

Agile mindset

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. 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 by:

• 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

Cover Letter

In your cover letter, please address the following questions so we can get to know a bit more about you!

1. Why are you interested in working in the pet insurance industry?
2. What unique skills make you stand out from a crowd?
3. Ngākau nui. Āhurutanga. Tikanga.

Culture & Inclusion

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.

Employee Benefits

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

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. 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.