Hospital Claims Team Leader
We’re looking for an experienced and people-focused Team Leader to lead our Hospital Claims Assessors through an exciting period of change. In this role, you’ll balance operational delivery with coaching and development, ensuring hospital claims are assessed accurately, on time, and in line with our service standards.
This is a great opportunity for a confident leader who enjoys supporting teams, navigating change, and making a real impact for members.
What we have to offer?
We at Teachers Health have a lot to offer,
- Attractive leave benefits
- Hybrid working model (flex your work/life balance)
- Subsidised private health insurance
- Discounts on our products and services
- Generous employee wellbeing program
- Easily accessible by public transport
Who are we?
Teachers Health was created by teachers for teachers over 70 years ago and is the only health fund exclusively for the education community. As a not-for-profit health fund, we exist for our members covering the lives of over 500,000 teachers, education staff & their families.
What will you do? / How will you help?
As a Hospital Team Leader, you’ll play a key role in the day-to-day success of our hospital claims team. Your responsibilities will include:
- Lead and manage a team of Hospital Claims Assessors in achieving performance and continuous development, including workload management and workforce planning.
- Coach, upskill and ensure competency development across the team in achieving KPI and service standards.
- Ensure ongoing compliance with both legislative frameworks and business practice.
- Lead the implementation of policy, process, and system changes for the Hospital Team.
- Collaborate and maintain effective working relationships with both internal and external stakeholders.
- Contribute to continuous improvement initiatives and creating best practice processes.
- Provide technical expertise and function as a subject matter expert with the hospital space.
- Identify compliance issues, fraud risk, and opportunities to minimise benefit leakage.
- Identifying fraud risks, compliance issues, and opportunities to minimise benefits leakage
What do you need? /What are we looking for?
Essential:
- Proven Team Leader experience (including managing performance and difficult conversations)
- Strong process orientation with the ability to support others through change.
- Experience working in high-volume, KPI-driven environments.
- Effective communication and stakeholder engagement skills
- Confidence using Microsoft Office and internal systems.
Desirable:
- Private Health Insurance or claims experience.
- Hospital claims knowledge or familiarity with hospital/clinical terminology
- Experience with HAMBS or similar claims systems
- Qualifications in Business, Management, or a related field
Working style:
- A people leader who can bring positive energy while supporting an established team
- Flexible, open-minded, and comfortable leading teams through system and business change
- Values-driven with a strong focus on fostering a collaborative and engaged team environment.
This role requires you to be an Australian Citizen or Permanent Resident
The salary package for this role is $124,244 (inc super)
How do I apply?
Click APPLY NOW and send in your updated CV. Please note, as part of our recruitment process candidates may be required to complete video screening and online assessments, and applications will be reviewed and progressed on an ongoing basis, so we encourage you to apply as soon as possible!
Due to the high number of applicants, only shortlisted candidates will be contacted
Teachers Health values diversity and inclusion and encourages applications from people with diverse backgrounds including First Nations people, people with disability, people from diverse cultural and linguistic backgrounds, and people that identify as LGBTQIA+. Applicants can request an adjustment at any stage during the recruitment process by getting in touch with [email protected]
