Clinical Assessor

Join our team of Assessors and learn to be a subject matter expert in compliance and eligibility assessment in the health insurance industry. You will help assure appropriate benefits are paid towards our members’ claims. and identify when claims are not eligible under legislation or Bupa’s fund rules. Your role is that of investigator and expert in the detection of when claims are or are not eligible for benefits to be paid. You will be supported by a team of similar investigators as well as experienced managers and a team of medical practitioners. How will I help?

People covered by private health insurance expect their claims to be paid efficiently and promptly. They also expect that their contributions don’t go towards people who aren’t covered and haven’t been paying contributions towards private health insurance as they have. Some people choose health insurance products with certain restrictions on what might be covered. It’s not always straightforward.You will ...