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Job Title


Claims Operations Team Leader


Company : Bupa


Location : Adelaide, South Australia


Created : 2026-02-02


Job Type : Full Time


Job Description

Hybrid Working | Adelaide, SA | Attractive Salary + BenefitsWe are seeking an accomplished Operations Team Leader to lead and develop a team of 1518 Hospital Claims Consultants within a structured, process-driven environment. This role is ideal for a highly capable leader who combines operational excellence, strong financial and reporting capability, and genuine people leadership.Experience in health insurance or hospital claims processing is preferred but not essential. What matters most is proven success leading operational teams, a strong understanding of process and risk, and the ability to translate data and insight into meaningful performance outcomes.The OpportunityReporting to the Senior Operations Manager, you will be responsible for the day-to-day operational performance of a hospital claims function, ensuring accurate, timely and compliant claims outcomes while fostering a professional, engaged and customer-focused culture.This position offers a hybrid working model based in Adelaide, an attractive salary, and the opportunity to play a key leadership role within a complex, regulated environment.Key ResponsibilitiesLead, coach and develop a team of 1518 Hospital Claims ConsultantsDrive operational excellence across people, process and technologyEnsure accurate and compliant processing of hospital claims in line with policy, legislative and regulatory requirementsManage workflow, resourcing and service levels to consistently meet SLAsDeliver targeted performance and behavioural coaching aligned to operational and quality targetsAnalyse operational and financial reports, identify trends and insights, and implement improvement actionsPromote continuous improvement, efficiency and automation initiativesPartner closely with risk, compliance, quality and process design teamsBuild strong relationships with internal stakeholders, medical providers and external partnersEnsure all risk, compliance, and governance obligations are metAbout YouYou are a structured, detail-oriented leader who understands the importance of strong process, risk awareness and disciplined execution in claims-based environments. You lead with professionalism and empathy, creating clarity, accountability and confidence within your team.You will bring:Proven experience leading medium to large operational teams (15+ consultants)Experience in hospital claims, health insurance, or regulated financial services (preferred)Strong reporting, analytical and problem-solving capabilitySound financial and commercial acumenDemonstrated experience in performance management and coachingA strong understanding of risk, compliance and quality frameworksExcellent stakeholder engagement and communication skillsAbility to thrive in fast-paced, high-volume operational environmentsSupport Every Step of the WayAt Bupa, our people are at the heart of everything we do. Our global wellbeing program is designed to support your mental, physical, financial, social, and environmental healthensuring you thrive both professionally and personally.Our employee benefits include:Fully subsidised Bupa health insuranceDiscounts on travel, home, dental, and optical servicesExclusive savings with partner brands such as Apple, Endota Spa, and New BalanceOne additional day of annual leave each year for your wellbeingA paid volunteer day each year to give back to the communityWe are committed to creating a safe and inclusive workplace that reflects the diverse communities we serve. Applicants from all backgrounds are encouraged to apply. If you require any adjustments during the recruitment process, please let us know when submitting your application.Join us and discover how wellbeing goes beyond the workplace.