Be at the heart of itHelping people live longer, happier, healthier lives and making a better world. That's what drives us every day. Our people, our customers and our community are all at the heart of Bupa. We're working hard to shape a brighter future for everyone, but we can't do it alone.The heart of the roleWe are looking for Claims Processing Consultants to join our Claims team on a full-time permanent basis. You will be responsible for managing complex customer and provider Health Insurance claim requests for Ancillary, Medical and Hospital Claims. You will be working directly with customers and providers to proactively assess claims and resolve queries while building strong relationships to deliver a seamless claiming experience for our customers and providers.As a Claims Processor your responsibilities will include:End to end claims assessment of Hospital, Medical and Ancillary claimsCommunicate with claimants, policyholders, and third parties to clarify claim details or request additional informationGather and analyse evidence to determine the validity and potential impact of claimsProactively identify process improvement and self-service opportunities to support customer needsProvide best in class service to customers and providers both via phone (inbound and outbound) and written correspondence including account queries.Ensure all claims processing activities comply with relevant industry regulations, legal requirements, and company standardsKeep up to date with changes in regulations, laws, and best practices that affect claims processingAdditional Information about the roleStart Date February 2025The role will be based in our Adelaide office for the first 3 months, once you and your team leader agree you have settled well the opportunity to work from home will be an option.About YouWe offer a comprehensive training program therefore to be successful in this role, you don't need to have Health Insurance claims experience. But you will have a strong desire to learn and a passion for delivering high-quality and accurate work.In addition, you will have:Strong written and verbal communications skillsHighly proficiency in computer literacy and ability to navigate through multiple systems and processes is essentialSuperior attention to detail and ability to work under pressure and meet timelinesBe a self-starter with a proactive mindsetProblem solving attitude with a focus on customer experienceThe ability to work autonomously with great time management skillsWe've got your backThe special thing about Bupa is that care is at our core and will always be a part of how we operate. Extending that, we want our people to feel they are benefiting from Bupa's purpose: so that everyone is supported to live the healthiest and happiest version of themselves. Simply put, this is what wellbeing means at Bupa.Our range of benefits include:Fully subsidised health insurance products - How good is that!Discounts on travel, car and home products, as well as discounts on Bupa services such as Dental and Optical, skin checks and vaccinationsDiscounted products and services via our extensive partner network, like Apple, Endota Spa, New Balance, Garmin, JB Hi Fi,An additional annual leave day for you to focus on your wellbeingAn additional volunteer day each year for you to give back to your communityThere is nothing half-hearted about what we do at Bupa, Apply now!At Bupa, we are striving to create and sustain a safe and inclusive workplace. We welcome applicants from all cultural backgrounds, genders, and abilities. If you require any adjustments to participate in our recruitment process, please let us know at the time of your application.#J-18808-Ljbffr