In-Demand Claims assessor Jobs in Mona Vale, Nsw

Claims Assessor
Avant —Sydney NSW
- Full-time
- Customer service
- Data entry
- Communication skills
- Health insurance
22h
Claims Assessors - Group, Retail and LTIP
AIA —Sydney NSW
- Full-time
- Hybrid work
- Commuter assistance
- Annual leave
12d
Claims Assessor
First Australian Company —Chatswood NSW
- Full-time
- Office
- Analysis skills
- Bachelor's degree
- Employee assistance program
- Referral program
Quick Apply
14d
Claims Technical Learning Consultant
Zurich Insurance —North Sydney NSW
- Full-time
- Hybrid work
- AI
- Annual leave
- Parental leave
1d
Claims Consultant
ASC Employment Services Pty Ltd —Sydney NSW
- Full-time
- Communication skills
- Parental leave
Quick Apply
8d

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claims assessor jobs near mona vale, nsw

Claims Assessor

Avant -
Sydney NSW

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Job Details

Permanent | Full-time
22 hours ago

Benefits

Health insurance

Qualifications

Customer service
Data entry
Communication skills
Hospital experience

Full Job Description

Full-time | Permanent | Sydney | Doctors Health Fund

About the role
We’re looking for an experienced Claims Assessor to join our Doctors Health Fund team.
In this role, you’ll be responsible for accurately and efficiently assessing health insurance claims in line with fund rules, policies, procedures and legislation. You’ll also support our members and providers by handling inbound and outbound enquiries and helping resolve claims-related queries.
This is a great opportunity for someone with a private health insurance (PHI) background, particularly those with experience assessing hospital claims.

What you'll be doing

Assessing health insurance claims accurately and within agreed service levels
Assessing hospital claims in accordance with fund rules, policies and legislation
Adjusting claims where required
Handling inbound and outbound calls with members, providers and third parties
Conducting peer reviews to ensure claims and processes are accurate
Keeping up to date with changes to products, processes and legislation
Participating in coaching and training on new products and processes
Identifying opportunities to improve processes and delivering practical solutions
Supporting other activities relating to the claims and payments process

About you
You’ll be a detail-oriented and customer-focused professional who enjoys working in a fast-paced environment and has a strong understanding of health insurance claims.

You’ll bring:

Experience in private health insurance (PHI) – highly desirable
Previous experience assessing hospital claims
Strong understanding of health insurance claims processes, rules and procedures
Knowledge of claim related systems such as HAMBS, ECLIPSE, etc is desirable
Extensive hands-on customer service experience
Strong data entry skills and a high level of accuracy
Excellent verbal and written communication skills
The ability to manage competing priorities and meet service level requirements
A proactive approach to identifying issues and finding solutions

Equal Opportunity Employer
Avant supports doctors so they can serve Australia's diverse communities. Having diversity in our workforce brings valuable perspectives and strengthens our ability to support healthcare professionals.
We therefore welcome applications from people of all backgrounds, including Aboriginal and Torres Strait Islander peoples, people from culturally diverse communities, LGBTQIA+ individuals, people with disabilities, and those with caring responsibilities.
Our inclusive workplace is somewhere everyone can succeed.
Ready to join us? If you're passionate about supporting Australia's healthcare professionals, we'd love to hear from you. If you require any adjustments during the recruitment process, please don't hesitate to contact us at [email protected]

Apply Now

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claims assessor jobs in mona vale, nsw

Claims Assessor

Claims Assessors - Group, Retail and LTIP

Claims Assessor

Claims Technical Learning Consultant

Claims Consultant

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