Hospital Claims Assessor
Surry Hills | Permanent | Hybrid working | $94,742 (incl. super)
We’re looking for a detail-oriented and driven Hospital Claims Assessor to join our growing team. In this role, you’ll be responsible for assessing and processing public and private hospital claims in line with policy, legislative requirements, and performance standards.
This is a great opportunity for someone who enjoys technical work, thrives in a structured environment, and wants to deepen their expertise within the health insurance industry.
What we have to offer?
We at Teachers Health have a lot to offer,
- Attractive leave benefits
- Hybrid working model (after training period) and a 35‑hour full‑time week to support work-life balance
- 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 500,000 teachers, education staff & their families.
What will you do? / How will you help
- Accurately assess and process public and private hospital claims within required timeframes
- Ensure compliance with fund policies, contracts, and legislative requirements
- Review hospital contracts and billing to determine benefit payments
- Meet productivity, QA standards, and KPI targets
- Liaise with internal teams, healthcare providers, and external stakeholders
- Handle inbound calls and enquiries from providers and members
- Contribute positively to team performance and continuous improvement
What do you need? /What are we looking for?
Skills
Full training is provided for this position but some of the skills that would set you apart for this role are:
- Experience in hospital claims, medical claims processing, or healthcare billing (highly regarded)
- Understanding of hospital systems, billing practices, or the health industry
- Strong attention to detail and ability to interpret policies and contracts
- Experience working towards KPIs and quality standards
- Ability to manage repetitive tasks efficiently without compromising accuracy
- Confident communicator who can liaise with a range of stakeholders
- Resilient, proactive, and brings a positive, can-do attitude
- Applicants must be Australian Citizens or Permanent Residents
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 jobs@teachershealth.com.au
