JOB  DETAILS

Benefits include:

• Hybrid working arrangements
• 5 weeks annual leave
• Free breakfast and snacks in the office
• Ongoing learning and development opportunities
• Exposure to claims, finance, product, risk, compliance and data teams
• The opportunity to contribute to high-impact project and remediation work

What You Will Be Working On

You’ll be responsible for providing data-led analysis and insight across claims and benefits activity, including:

• Analysing claims, benefits and utilisation data to identify trends, anomalies and areas requiring investigation
• Assessing how benefit rules, product settings and operational processes are being applied
• Monitoring claims costs, benefit outlay, payment integrity and unusual claiming patterns
• Identifying potential overpayments, underpayments, leakage and control gaps
• Supporting remediation activities, including validation, tracking and reporting
• Developing reports, dashboards and analysis packs to support decision-making
• Assisting with benefit rule validation, claims controls and operational process reviews
• Partnering with stakeholders across Claims, Product, Finance, Risk, Compliance and Data teams
• Translating complex findings into practical recommendations and actionable insights for business stakeholders

What You’ll Bring

We’re looking for someone who combines strong analytical capability with the ability to communicate insights clearly and influence outcomes.

You’ll bring:

• Private health insurance, healthcare, claims operations or benefits management experience

• Experience working with claims, benefits, financial or operational data
• Strong analytical and investigative skills with the ability to identify trends and root causes
• The ability to interpret complex data and translate findings into practical business insights
• Strong attention to detail and a commitment to accuracy
• Excellent written and verbal communication skills
• The ability to manage competing priorities and deliver quality outcomes
• Experience engaging with a range of stakeholders across business functions

Desirable Experience

• Experience supporting remediation or project-based initiatives
• Advanced Excel skills and/or experience with Power BI
• An understanding of benefit design, payment integrity, claims controls or root cause analysis
• International Private Health Insurance experience

Are you interested in this position?

Apply by clicking on the “Apply Now” button below!

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