Claims Specialist

Job Description

Overview

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Role: Claims SME

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Location: Melbourne preferred or Sydney

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Hiring: Permanent Role

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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.

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Responsibilities

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

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• Deep expertise in health insurance, with strong business acumen and operational understanding.
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• Proven experience in claims operations, particularly in designing and implementing future-state models.
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• Exceptional communication skills, with the ability to influence and engage executive and business-facing stakeholders.
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• Familiarity with Australian health insurance regulations (highly valued but not mandatory).
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• Exposure to Pega Smart Claims Engine or similar platforms (optional but advantageous).
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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.

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Seniority level

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• Mid-Senior level
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Employment type

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• Full-time
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Job function

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• Consulting
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Industries

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• Business Consulting and Services
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