Claims Processing Consultant
Core
Assess and process health insurance claims for customers and providers, ensuring accurate assessment and efficient resolution across Hospital and Ancillaries (Extras) claims.
Role type
Claims Processing Consultant
Builds
Hospital and Ancillaries (Extras) health insurance claims
Domain
Health Insurance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
claims processing, customer service, administration, problem-solving, attention to detail, written communication, verbal communication, multi-system navigation, policy compliance
Preferred skills
health insurance experience, healthcare experience, contact centre experience
Responsibilities
Assess and process health insurance claims, manage complex and exception claims, respond to customer and provider enquiries, investigate issues and identify solutions, identify opportunities to improve processes and customer outcomes, work within relevant policies, procedures and regulatory requirements
Seniority
Entry to Mid-level, fixed-term