Case Specialist

Looking for a role where you can take real ownership and make an impact?

Join a well established health fund organisation that genuinely values its people. With a supportive and welcoming team, a strong focus on employee wellbeing, and opportunities to learn and grow, you'll be part of a workplace where your contributions are recognised and your career can thrive.

If you're an experienced administrator who enjoys taking end to end ownership of complex cases, solving problems and delivering accurate outcomes, we'd love to hear from you.

Benefits!

Up to 12 month contract, starting on 19 October

Hybrid working model after training (3 days WFH, 2 days in the Parramatta office)

$37.58 per hour + super

Comprehensive onsite training program

Monday to Friday office hours, no weekend work!

Modern office based in Parramatta

Health and wellbeing initiatives that support work life balance

A fun and engaging workplace with an active social calendar, including team events, cook off competitions and other activities throughout the year

Your Next Role

We're looking for a Case Specialist to join the Premium Administration team, taking ownership of premium administration and remediation cases from allocation right through to closure. You'll coordinate assessment, calculation, communication, payment and record rectification, making sure every case is handled accurately and delivers a fair outcome for members and providers.

This is a specialist role suited to someone who enjoys managing complex, end to end cases independently, applying sound judgement, and supporting others along the way.

What You'll Do

Calculate and validate remediation payments in line with approved methodologies and financial controls

Take end to end ownership of assigned remediation cases from assessment through to closure

Investigate payment discrepancies and resolve issues in line with procedures

Maintain accurate records, audit trails and supporting documentation

Act as the primary point of contact for assigned cases, responding to member and provider enquiries

Manage sensitive or complex cases with professionalism, empathy and sound judgement

Perform quality assurance checks across policy updates, calculations and communications

Support and coach Premium Administration Coordinators on case management and quality requirements

Work closely with various internal teams to deliver accurate outcomes

What You'll Need

Experience in policy administration, remediation or a regulated environment

Strong numerical skills with experience calculating or validating financial outcomes is desirable

High attention to detail with a strong focus on accuracy and quality assurance

Experience managing customer enquiries, including complaints or dispute resolution

Confidence working with systems, spreadsheets and case management tools

Excellent written and verbal communication skills

Proven ability to manage workloads, meet deadlines and work within SLAs

Sound judgement and the ability to identify and escalate risks

What's Next?

If you're looking for an opportunity to join an organisation that values its people, invests in their development and offers genuine long term career opportunities, we'd love to hear from you.

Interviews are taking place next week, so apply now to be considered for this exciting opportunity!