Job Description
We’re Civica and we make software that helps deliver critical services for citizens all around the world. From local to state government, to education, to health and care, over 5,000 public bodies across the globe use our software to help provide critical services to over 100 million citizens.
Our aspiration is to be a GovTech champion everywhere we work around the globe, supporting the needs of citizens and those that serve them every day. Building on 21 years of continuous growth and success, we're at a pivotal point on our journey to realise that aspiration.
As a company, we’re passionate about what we do and the citizens we help to serve. If you too would like to help champion the use of technology in public services, to improve outcomes for citizens and public sector organisations, then Civica is the right place for you. We will help you unlock the best version of yourself, achieve growth in your career whilst making a real difference to people and communities.
Why you will love this opportunity as a Claims Gateway Specialist Consultant at Civica
This role offers the opportunity to apply deep expertise in health claims and digital payment ecosystems to solutions used across Australia’s health and insurance sectors. It provides the ability to influence product direction through structured discovery, detailed business analysis, and strong crossfunctional collaboration.
You will work closely with product, engineering, operations, and customer teams to translate complex regulatory, operational, and digital payment requirements into actionable backlog items. The role provides the platform to shape solutions that improve claims processing efficiency, strengthen compliance, and enhance the digital experience for health funds and their members.
Your expertise will directly support Civica’s continued growth in digital health and payment innovation, ensuring the delivery of solutions that help public and private organisations operate more effectively. This role enables meaningful impact by supporting technology that improves outcomes for citizens, health providers, and payers.
Requirements
What you will need to be successful in this role
Extensive experience in health insurance, claims processing, or digital health payments
Strong knowledge of digital claiming rails, settlement models, and realtime transaction flows
Demonstrated capability in gathering, documenting, and validating complex functional and nonfunctional requirements
Ability to create solutions related to claiming and digital payments
Proven experience structuring Epics, Features, and User Stories with clear acceptance criteria and traceability
Strong understanding of Agile delivery methodologies and sprintbased delivery processes
Ability to facilitate structured discovery workshops with internal and external stakeholders
Strong analytical and problemsolving skills, with the ability to translate ambiguous needs into defined deliverables
Experience working with crossfunctional delivery squads, including product managers, engineers, QA, UAT, and operations
Knowledge of integration dependencies, digital payment pathways, and optimisation opportunities within claims environments
Ability to maintain documentation quality, audit traceability, and scope control across the delivery lifecycle
Experience supporting UAT planning, defect triage, and release readiness activities
Familiarity with APIbased integrations, health fund ecosystem requirements, or digital health claiming standards (nice to have)
Benefits
Why you'll love working with us.
We know that when our people are happy, they will work better and have greater work satisfaction. Here's what you can expect:
We're all different - and we love this about us.
We provide an inclusive, safe, and welcoming environment to all Civicans - there are heaps of opportunities to enable you to grow and be your best.
Giving culture - we encourage you to "give back" with benefits such as our Days of Difference leave where you can volunteer for a charity of your choice.
Flexible Work - we have the technology and tools to support you to work from home and come into our offices now and then to catch up and socialise with colleagues.
Apply for this job - Become part of something special Do you see yourself in this role? If so, then we would love to hear from you.
We are an equal opportunity employer. We do not discriminate based on race, religion, colour, national origin, gender, ****** orientation, age, marital status, veteran status, or disability status. In fact, we strongly believe that diversity of experience contributes to a broader collective perspective that will consistently lead to a better company and better outcomes. We are working hard to increase the diversity of our team wherever we can, and we actively encourage everyone to consider becoming a part of it. We are especially keen to receive applications from Aboriginal and Torres Strait Islander peoples of Australia.
Our aspiration is to be a GovTech champion everywhere we work around the globe, supporting the needs of citizens and those that serve them every day. Building on 21 years of continuous growth and success, we're at a pivotal point on our journey to realise that aspiration.
As a company, we’re passionate about what we do and the citizens we help to serve. If you too would like to help champion the use of technology in public services, to improve outcomes for citizens and public sector organisations, then Civica is the right place for you. We will help you unlock the best version of yourself, achieve growth in your career whilst making a real difference to people and communities.
Why you will love this opportunity as a Claims Gateway Specialist Consultant at Civica
This role offers the opportunity to apply deep expertise in health claims and digital payment ecosystems to solutions used across Australia’s health and insurance sectors. It provides the ability to influence product direction through structured discovery, detailed business analysis, and strong crossfunctional collaboration.
You will work closely with product, engineering, operations, and customer teams to translate complex regulatory, operational, and digital payment requirements into actionable backlog items. The role provides the platform to shape solutions that improve claims processing efficiency, strengthen compliance, and enhance the digital experience for health funds and their members.
Your expertise will directly support Civica’s continued growth in digital health and payment innovation, ensuring the delivery of solutions that help public and private organisations operate more effectively. This role enables meaningful impact by supporting technology that improves outcomes for citizens, health providers, and payers.
Requirements
What you will need to be successful in this role
Extensive experience in health insurance, claims processing, or digital health payments
Strong knowledge of digital claiming rails, settlement models, and realtime transaction flows
Demonstrated capability in gathering, documenting, and validating complex functional and nonfunctional requirements
Ability to create solutions related to claiming and digital payments
Proven experience structuring Epics, Features, and User Stories with clear acceptance criteria and traceability
Strong understanding of Agile delivery methodologies and sprintbased delivery processes
Ability to facilitate structured discovery workshops with internal and external stakeholders
Strong analytical and problemsolving skills, with the ability to translate ambiguous needs into defined deliverables
Experience working with crossfunctional delivery squads, including product managers, engineers, QA, UAT, and operations
Knowledge of integration dependencies, digital payment pathways, and optimisation opportunities within claims environments
Ability to maintain documentation quality, audit traceability, and scope control across the delivery lifecycle
Experience supporting UAT planning, defect triage, and release readiness activities
Familiarity with APIbased integrations, health fund ecosystem requirements, or digital health claiming standards (nice to have)
Benefits
Why you'll love working with us.
We know that when our people are happy, they will work better and have greater work satisfaction. Here's what you can expect:
We're all different - and we love this about us.
We provide an inclusive, safe, and welcoming environment to all Civicans - there are heaps of opportunities to enable you to grow and be your best.
Giving culture - we encourage you to "give back" with benefits such as our Days of Difference leave where you can volunteer for a charity of your choice.
Flexible Work - we have the technology and tools to support you to work from home and come into our offices now and then to catch up and socialise with colleagues.
Apply for this job - Become part of something special Do you see yourself in this role? If so, then we would love to hear from you.
We are an equal opportunity employer. We do not discriminate based on race, religion, colour, national origin, gender, ****** orientation, age, marital status, veteran status, or disability status. In fact, we strongly believe that diversity of experience contributes to a broader collective perspective that will consistently lead to a better company and better outcomes. We are working hard to increase the diversity of our team wherever we can, and we actively encourage everyone to consider becoming a part of it. We are especially keen to receive applications from Aboriginal and Torres Strait Islander peoples of Australia.
💡 Quick Summary
Seeking a career-building opportunity? The Claims Gateway Specialist Consultant (*m FTC) position is now open for candidates interested in the Insurance sector. This role in Melbourne offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Insurance is a plus.