Clinical Claims Officer

HBF Health
Perth, Australia
Job Type
Reference No.
Application Close Date
Contact Title
Manager Business Integrity - Clinical
Contact Name
Leonie Chong
Contact Email
Contact Phone
(08) 9265 8738


The Opportunity
HBF is seeking two suitably qualified individuals to join the Business Integrity team in a permanent full-time capacity. The Clinical Claims Officers are responsible for establishing and conducting reviews of the clinical claiming process to identify and investigate irregular or inappropriate hospital and medical claims with the view to seek recovery of inappropriate benefits paid to providers or members.

Post-investigation and recovery processes, you will work closely with internal teams at HBF to improve or implement clinical based rules for integration into the HBF claims process to minimise opportunities for inappropriate payment losses.

This is a fantastic career opportunity for individuals interested in exploring the Health Insurance industry whilst being supported by experienced Business Integrity peers.

This role will predominately be based in our Perth Head Office, conveniently located near public transport stations. There is some flexibility to work from home too!

About You
You are an analytical-minded individual with exceptional communication skills (written, verbal and listening). A solutions-focused problem solver, you are able to work autonomously and collaboratively as part of a team to help HBF minimise claims fraud. You have strong time management and organisational skills with the ability to prioritise your workload to meet deadlines. Completion of (or progression towards) a recognised ICD-10-AM clinical coding qualification is required.

How to Apply
To apply, click the link to be directed to HBF's careers site and complete your application by sending us a copy of your CV along with a covering letter outlining why your skill and experience meet the requirements of this role.

If you have any questions, please contact Leonie Chong (Manager Business Integrity – Clinical) on (08) 9265 8738.

Applications close midnight, 5 September 2021. HBF reserves the right to close the role and commence shortlisting prior to the advertised close date.

About HBF
As one of WA’s longest established private health providers, (we’ve been around for 80 years!), we continue to innovate and challenge the status quo; adopting a strategy that focuses on business growth and sustainability, diversification, national expansion and significant enhancements to how we service our members through technology and relevant related businesses.

As a not-for-profit fund with no shareholders, we are dedicated to doing the right thing for our members. That’s why our iconic brand’s reputation is built on personalised service, community support and a motivation to deliver for our members in the moments that matter.

When you work for HBF, you work for a company with a clear vision and a team of people that are passionate about providing the best service, experience and products for our members across Australia.

So why not come with us on our transformation journey and see where a career with HBF can take you?

Employee benefits
Discounted private health insurance
13 days personal leave per year
Career development opportunities
Generous salary packaging options
Access to corporate discounts across a range of retail, restaurants and hotels

Our recruitment and selection process include a variety of assessment methods that may encompass psychometric assessments, reference checks and verification of working rights in Australia. Preferred candidates will be required to return a satisfactory National Police Clearance prior to an offer of employment being extended.

At HBF, we don’t just accept difference - we celebrate it, we support it, and we thrive on it for the benefit of our employees, our products, and our community. HBF is a place of belonging. We are proud of who we are, and we encourage applications from diverse groups such as Indigenous and Torres Strait Islander people, physical ability, age, sexual orientation, gender identity or expression and family background, including caring responsibilities.

All HBF vacancies are managed by our internal Talent Acquisition team. Unsolicited agency applications will be returned without review.

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