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Claims Specialist

Claims Specialist

Infosys ConsultingMelbourne, Victoria, Australia
30+ days ago
Job description

Overview

Role : Claims SME

Location : Melbourne preferred or Sydney

Hiring : Permanent Role

Company : Infosys Consulting is the worldwide management and IT consultancy unit of the Infosys Group (NYSE : INFY). We partner with clients to design and implement customized solutions to address complex business challenges and IT-enabled transformations.

Responsibilities

  • Lead and support the design of the target state for claims operations, aligning with business goals and regulatory requirements.
  • Engage with stakeholders across all levels—from directors to business analysts—to ensure alignment and clarity on transformation objectives.
  • Contribute to the development and communication of executive-level documentation, including roadmaps, priorities, and target state design.
  • Provide market-leading insights into industry best practices, emerging trends, and innovative approaches to claims transformation.
  • Shape requirements at epic and feature levels, ensuring business value and feasibility are well-articulated.
  • Offer strategic input on business value realization and the change effort required for successful implementation.

Qualifications

  • Deep expertise in health insurance, with strong business acumen and operational understanding.
  • Proven experience in claims operations, particularly in designing and implementing future-state models.
  • Exceptional communication skills, with the ability to influence and engage executive and business-facing stakeholders.
  • Familiarity with Australian health insurance regulations (highly valued but not mandatory).
  • Exposure to Pega Smart Claims Engine or similar platforms (optional but advantageous).
  • We offer you great opportunities within a dynamically growing consulting organization. You will elaborate and deliver best practice solutions and will be able to further develop your skills. Infosys Consulting provides a global culture that embraces diversity, with a cooperative work environment and training opportunities.

    Seniority level

  • Mid-Senior level
  • Employment type

  • Full-time
  • Job function

  • Consulting
  • Industries

  • Business Consulting and Services
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    Specialist • Melbourne, Victoria, Australia