DXC Technology Claims Officer in MELBOURNE, Australia

Essential Job Functions

  • Enters insurance claims received electronically or in written form.
  • Answers incoming customer calls regarding claim processing. Documents claim and associated history.
  • Evaluates available information to validate claims. Verifies policyholder information, policy effective dates, premium status and verification of claim eligibility.
  • Sends claim form to claimant for updating, correction or completion.
  • Investigates simple to moderately complex claims and determines level or resolution if appropriate; advises claimant of status; assists in negotiating settlement and resolution of claim.
  • Identifies need for additional information; contacts appropriate source to obtain needed information. Verifies beneficiary or claimant information if claim is warranted. Identifies payment amount and obtains required management approvals for payment. Processes payment.

Basic Qualifications

  • High school diploma or G.E.D.
  • Fellowship of Life Health Claims (FLHC) Certification preferred
  • Two or more years of auditing, accounting, contracts or information technology experience
  • Experience working with insurance and/or medical terminology
  • Experience working with appropriate claims processing procedures and documentation

Other Qualifications

  1. Good analytical and problem solving skills
  2. Good interpersonal skills to interact with team members
  3. Good communication skills to communicate with clients
  4. Good data entry skills
  5. Negotiation skills to interact with claimant
  6. Ability to keep sensitive and confidential material private
  7. Ability to work in a team environment

Job: *Third Party Administration

Title: Claims Officer

Location: AUSTRALIA-VICTORIA-MELBOURNE

Requisition ID: 1700M70

DXC Technology is an Equal Opportunity/Affirmative Action employer. All qualified candidates will receive consideration for employment without regard to disability, protected veteran status, race, color, religious creed, national origin, citizenship, marital status, sex, sexual orientation/gender identity, age (40 or over), or genetic information. DXC's commitment to diversity and inclusive selection practices includes ensuring qualified long-term unemployed job seekers receive equal consideration for employment.