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Insurance Claim Examiner

2 weeks ago

Hamilton, Waikato, New Zealand Southern Cross Health Insurance Full time

Southern Cross Health Insurance Overview

Purpose and Values

We are a values-based culture where people are at the heart of everything we do.

We strive to deliver outstanding experiences to our members, driving continuous improvement in all aspects of our work.

We believe in empowering New Zealanders to live their healthiest lives, fostering a diverse and inclusive workplace that promotes growth and development.

This role is an exciting opportunity to join our team as a Claims Assessor, working closely with members and providers to resolve claims efficiently and fairly.

About Your Responsibilities

As a professional Claims Assessor, you'll be responsible for:

  • Assessing member claims accurately and in a timely manner, adhering to policy and rules
  • Liaising with members and providers to gather necessary information, maintaining confidentiality and adhering to privacy laws
  • Entering claim information into our claims system, meeting accuracy and productivity standards
  • Identifying and escalating potential issues or discrepancies in claim data

About Your Qualifications

To succeed in this role, you'll need:

  • Administrative experience in a corporate environment, preferably with contact with providers and/or suppliers
  • Strong communication skills, both verbal and written
  • Attention to detail, accuracy, and speed when processing data
  • Ability to manage workload, prioritise tasks, and work effectively in a team
  • Initiative, problem-solving skills, and decision-making abilities

Join Our Team

We offer a supportive and dynamic work environment, opportunities for growth and development, and a chance to make a real difference in the lives of our members.