Claims Processing Consultant

General information

Description & Requirements

• 12-month fixed term and permanent opportunities
• Flexible working environment, work from home and Adelaide CBD office  
• Comprehensive training and great benefits 

About the Role

As a Claims Processing Consultant, you’ll be responsible for the end-to-end management of complex claim requests across Ancillary, Medical, and Hospital claims. You will be the key link between Bupa and our members and providers—ensuring claims are processed accurately, queries are resolved promptly, and that every interaction reflects our commitment to exceptional service.

Key Responsibilities

• Assess and process a range of claims, including Hospital, Medical, and Ancillary
• Accurately interpret and apply health insurance policies, schedules, and regulations
• Manage inbound and outbound communications related to claims and accounts
• Proactively identify process or system improvements to enhance service delivery and self-service capabilities
• Collaborate with internal teams to ensure timely resolution of claim-related enquiries

Work Arrangements

• Initial onboarding and training will be based onsite at our Adelaide office for the first three weeks
• Once onboarding is complete, and in consultation with your team leader, you will be eligible to work hybrid, with flexibility to work from home

About You

You don’t need prior experience in health insurance claims—but we are looking for individuals who are curious, detail-oriented, and passionate about delivering high-quality work

You’ll bring:

• Strong verbal and written communication skills
• Confidence navigating multiple computer systems and digital tools
• Excellent attention to detail, with a commitment to accuracy and compliance
• A proactive and solutions-focused mindset
• Ability to manage competing priorities and meet deadlines in a fast-paced environment
• A collaborative approach, with the ability to also work independently

What’s Next?

Interviews will commence the week of 14 July

If this sounds like the opportunity for you, we encourage you to submit your application by Sunday, 3 August

You’re Supported Every Step of the Way

At Bupa, care is at the heart of everything we do—including how we support our people. Our global wellbeing program covers all aspects of health: mental, physical, financial, social, and environmental. No matter your role, you’ll have access to benefits and support designed to help you thrive

Our benefits include:

• Fully subsidised health insurance
• Discounts on travel, home, and Bupa services like Dental and Optical
• Savings with partners such as Apple, Endota Spa, and New Balance
• An extra day of annual leave for wellbeing
• A volunteer day each year to give back

We’re committed to a safe, inclusive workplace and welcome applicants of all backgrounds. Need adjustments during recruitment? Just let us know when you apply. Join us and experience wellbeing that goes beyond the workplace.