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Hospital claims assessor

Sydney
Teachers Health
Claims Editor
Posted: 15 June
Offer description

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We're looking for multiple dedicated individuals to join our growing Hospital team as claims assessors. In this role, you'll ensure hospital claims are processed promptly and accurately while providing exceptional support to members and healthcare providers. If you're detail-oriented, customer-focused, and eager to make a meaningful impact, we'd love to hear from you
What we have to offer?
We at Teachers Health have a lot to offer,

* 6 weeks of annual leave
* Hybrid working model
* 35 hour working week
* Subsidised private health insurance and discounts on our products and services
* Fantastic central location in Surry Hills
* Employee well-being programme
* An annual corporate wardrobe allowance
* 18 weeks paid parental leave for eligible employees
* Additional long service leave
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 400,000 teachers, education staff & their families.
What will you do? / How will you help?
* Maintain a high standard of claims assessment through accurate, efficient, and timely processing of hospital claims.
* Provide advice and assistance to members and health service providers in relation to benefits and conditions of the fund.
* Contribute to the effective operations of the Customer Service Business Unit
* Actively participate as a member of the Benefits and Assessing team.
* Effective use of own work time and work resources.
* Payment of claims within THF contract requirements and benefit payment limits
* Accurate assessment of hospital claims through the verification process and ECLIPSE system
* Prepare, review and complete claim process activity of hospital claims through the verification process and ECLIPSE system
What do you need? /What are we looking for?
Full training is provided for this position but some of the skills that would set you apart for this role are;
* Previous experience in a similar claims based role
* Detail orientated
* Ability to take regular constructive feedback
* Able to work efficiently without effecting the quality of your work
* Experience working towards KPI's
* Resilience
* Can - do attitude
The salary for this role is $90,190 package (inclusive of super)
How do I apply?
Click APPLY NOW and send in your updated CV and an (optional) cover letter, telling us why you would be a good fit for the role.
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


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