HBF Employee Benefits: Flexibility with hours and work-from-home optionsFully Subsidised Corporate Gold Health Cover for you and your family13 days personal leave per yearAccess to corporate discounts across a range of retail, restaurants, and hotels Part-Time Opportunity (0.7 FTE) 12-Month Max-Term Contract for Parental Leave Cover till 10/04/2026 Townsville Location Were looking for a passionate and detail-oriented Claims Processor to join our team. You will provide an exceptional level of personalised service to Members, ensuring accuracy and improving processes. With a deep understanding of claims processing, customer service, and administrative tasks, you will guide Members to successful outcomes by identifying individual needs, problem-solving, and proactively promoting our products and services. About the role: Youll develop a deep understanding of QCHF/HBFs business rules and procedures to process claims accurately and efficiently.Ensure all claims, including exceptions, are processed in a timely manner and in accordance with the Claims processing procedures.Handle enquiries and contact members and/or providers to validate information when required.Verify claims and provide feedback through the appropriate channels.Process quotes, claim reversals, and stop/cancelled cheques in accordance with established procedures.Maintain members policy details, updating information as required.Draft correspondence for members and providers professionally and in accordance with HBF standards.Use decision-making tools to investigate queries prior to referring to a Member Experience Consultant.Provide a high level of customer service at all times, ensuring that any information provided, or service delivered to both internal and external customers is timely and accurate.Identify opportunities to actively add value to a member relationship with Queensland Country Health Fund. About you: Experience in a clerical or administrative environment.Processing experience in financial or insurance relating to claims, membership, or products.Previous experience in customer service.Ability to communicate via phone, written, and verbal channels.Attention to detail and accuracy to ensure that the correct information is captured and maintained.Ability to learn new skills and demonstrate flexibility to take on new tasks. Location: This role is based in Townsville (preferred). Work Schedule: This is a 0.7 part-time role, with a preferred schedule of working five days a week, 8:30 am to 1:30 pm. However, flexibility can be discussed during the interview process. The candidate must be available to work on Mondays and Fridays. Next Steps: If you are looking for an exciting opportunity and are passionate about delivering exceptional service and accurate claims processing, wed love to hear from you. To apply, click on the "Apply Now" button and submit your resume outlining your relevant experience. Our recruitment process includes reference checks, National Police Clearance, and verification of working rights in Australia. At HBF, we dont just accept difference we celebrate it. We encourage applications from diverse groups including Indigenous and Torres Strait Islander people, and individuals of all abilities, orientations, and backgrounds.
Job Title
Claims Processor