Claims Assessor

Southern Cross Community Healthcare; Hamilton; On-site; NZD 55,000 - 75,000; Full time

Benefits offered by this job

Five days wellbeing leave

Health insurance

Life insurance

Parental leave benefits

Workplace wellbeing programme

Volunteer day participation

Job summary

Southern Cross Community Healthcare – Hamilton is seeking a Claims Assessor to join our claims assessing team. You will analyse claims and decide coverage, delivering fair, accurate outcomes for our pet insurance customers.

We value a proactive, detail‑oriented approach, teamwork, and the ability to work in a fast‑paced, agile environment. This full‑time role offers the chance to contribute to great customer service and pet care in Hamilton.

Qualifications

• Experience in a role requiring judgement calls and decisions.
• Eye for detail with ability to double check work for accuracy.
• Interest in processes and policy standards.
• Confidentiality and professional demeanour essential.

Responsibilities

• Analysing claims and deciding whether they are covered by our policies.
• Delivering fair, accurate outcomes for customers.
• Supporting a world class service through a decisive, fact-based approach.
• Maintaining a rapid claims turnaround time.

Skills

Decision making

Attention to detail

Empathetic approach

Team player

Job description

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Southern Cross Community Healthcare – Hamilton, North Island

Full time

4d ago , from Southern Cross Health Insurance

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 andboost 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

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?

Join a proud diverse team, that'salways 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 ofwellbeing leaveper year
• Health insurancefor you and your immediatewhānau
• Life insurancecover and discounts onpet and travel insurance
• Extraparental leave benefitsandfinancial wellbeingsupport
• Participate in ourworkplace 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.

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