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Claims Manager - Anillary & Medical


Sydney, New South Wales, Australia

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Job Posted: 27/09/2017

Job Category:

Insurance & Superannuation / Claims

Job description:

About the role

Our HCF Claims Operations team are seeking an experienced Claim Manager to lead our Ancillary and Medical Claims team. As HCF venture through an exciting transformation phase you will be responsible for motivating and developing your team whilst ensuring a high preforming culture is maintained at all times.

You will drive operational efficiency and continually look at opportunities to improve business processes and procedures. You will be passionate about driving employee engagement, developing your team and empowering others. As our Claims business continues to grow this is a fantastic opportunity to truly add value and be part of HCF’s exciting transformation journey.

Key responsibilities include:

  • Lead and manage a team by building and maintaining a culture of service excellence within the team and motivate the team to exceed service SLA’s
  • Effective people management which includes recruiting, on boarding, coaching, developing and mentoring team members
  • Monitor team and individual productivity and accuracy through reports generated daily and monthly
  • Develop individual performance management plans to ensure alignment with company objectives and implement development plans for all team members to achieve their goals and improve their overall performance
  • Ensure individual and team milestones are recognised and acknowledged
  • Develop operational business plans aligned with company objectives and strategy
  • Ensure all Medical and Ancillary claims to be processed accurately and within SLA’s
  • Work with Medical Benefits Management and Ancillary Benefits Management to enhance and simplify processes and systems to make it easier for our members to deal with us
  • Manage all member and provider complaints effectively
  • Review, develop and implement procedures or controls to ensure accurate and timely processing of all claims
  • Understand and comply with external operating and regulatory environment
  • Implement changes to systems or processes as appropriate and to ensure continued efficiency and to reduce leakage

About you

To be successful you will demonstrate the following skills and experience;

  • Excellent people management skills and a positive, hands on attitude
  • Proven ability to motivate and lead teams
  • Strong customer service focus
  • Proven ability to perform in a similar position
  • Excellent communication skills – both written and verbal
  • Good relationship and stakeholder management skills
  • Collaborative working approach
  • Intermediate to advanced computer skills – MS Office, Outlook

About HCF

HCF is Australia's largest not for profit private health insurer. With over 80 years of heritage in Australia, we remain faithful to our not for profit charter and continue to deliver more benefits to our members. With the adoption of our 2020 Strategy, our vision is to make health care understandable, affordable, high quality and customer centric.

Next steps

If you have the experience above and you are looking for an opportunity to lead a growing team, you’re sure to enjoy and succeed in this position. Please apply now or contact Siobhan Worley at HCF Talent Acquisition Team on 029-290-0373