Claims Analyst

About Southern Cross Health Insurance

We're a not-for-profit organisation on a mission to empower New Zealanders to live their healthiest lives.

Our team is dedicated to delivering outstanding experiences to our members in their time of need.

We pride ourselves on giving our members the best experience, so you will need to be driven and a high performer.

As a professional, proactive and personable individual, you'll be assessing our Member's claims accurately and in a timely manner according to policy and rules of the Society.

You'll Do This By

• Checking claims received contain sufficient information required for assessment
• Liaising with Providers and Members to obtain additional information in an appropriate manner while adhering to the Privacy Act and maintaining Member confidentiality
• Entering claim information into the claims entry system and adhering to agreed accuracy and productivity standards
• Identifying anomalies in data provided by Members or Providers and following company policy to escalate any suspicious information

Ideally You'll Have

• Administrative and/or processing experience in a corporate environment involving contact with providers and/or suppliers
• Strong verbal, written and interpersonal communication skills
• Accuracy and speed at inputting data
• An ability to self-manage and plan, organise and prioritise workload
• An ability to work effectively within a team environment
• Strong initiative and the ability to proactively seek information and problem solve
• Decision making ability
• A focus on continuous improvement
• A willingness to be flexible and adaptable to a changing work environment

About The Role

This role requires strong attention to detail, comfortable decision-making, and a customer-focused mindset.