Member Claims Advisor (Remote)

Member Claims Advisor | Health Insurance Fund of Australia | Australia

Welcome to HIF, the Health Insurance Fund of Australia! We’re not your average health fund – we’re a passionate, award-winning team dedicated to helping our Members live healthier lives. Despite our national brand, we’re a tight-knit group of 125 Member-focused individuals based in Perth.

Join us and be part of our vibrant not-for-profit organisation! We foster an inclusive culture, ensuring we excel at being a community for the community. Apply now and make a meaningful impact as a member of our 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 January 6th, 2025. 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.

Please read the full position description attached for more specifics about the role.

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:

• Subsidised health insurance cover
• Discounted travel insurance
• Flexible working arrangements tailored to your unique needs, such as Additional Purchased Leave and Nine Day Fortnight
• Hybrid working environment, you get to work from home and the office! (Hybrid work arrangements become accessible once you’ve successfully completed your induction and have demonstrated competence)
• Birthday leave to celebrate your special day!
• Various leave entitlements, including cultural, volunteering, menstrual leave and more
• Engaging social events organised by our vibrant Social Club
• Study assistance program to support your ongoing education
• Access to a confidential Employee Assistance Program
• PAW Days, allowing you to bring your furry companions to work!
• Our office is our modern Community focused Hub, with excellent public transport links, just a stone’s throw from Perth city centre
• And much, much more!

To apply for this opportunity please visit https://www.hif.com.au/careers-at-hif

Applications close at 5pm, Friday 13th December 2024

Start Date: 6th January 2025

To be successful for the role, you will need to meet the following requirements:

• Are you available to commence on the 6th of January 2025?
• Since there is an intensive induction period, we would prefer if no leave is taken during the first 3 months. Would you be comfortable with this?

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.

We are proud of our people and the amazing things they do every day. To find out what they say about being part of HIF, check out our latest people clip here…

Tagged as: remote, remote job, virtual, Virtual Job, virtual position, Work at Home, work from home