Claims Quality Assurance Specialist
6 months ago
**Company Description**
Welcome to This Australian Life.
From the millions of Australians we protect, to those that make it happen every day at TAL, people really are what we’re all about. We want to grow with you. Achieve with you. And support you to do your best work. That's why we're focused on developing leadership, promoting diversity, rewarding excellence, and retaining great talent.
We're always looking for people who want to go further with us. People who do what’s right, aim high, and work smart. Why not discover where we can go?
This role is responsible for providing quality assurance in relation to claim assessment in line with the TAL claims quality framework and risk management principles.
A key focus of this role is to promote a culture of risk management and continuous improvement by providing risk-based detective controls and insights relating to claim assessment.
**Main Activities/Responsibilities**
- Evaluate the effectiveness of quality assurance activities and practices to address key risks and critical processes.
- Evaluate the effectiveness of claims systems, controls and practices to ensure alignment to the claims philosophy, policies and risk principles.
- Manage processes and record keeping associated with the issuing of delegations of authority.
- Maintaining current knowledge of life insurance guidelines, processes and policy changes. Ensure that quality assurance practices reflect industry best practice and TAL processes and policies, providing clear communication of each of these in a simple and accurate manner to team members
- Liaise with the Claims Governance team and TAL Claims Team Managers, to ensure quality controls up to date and consistent with current policies.
**Qualifications**
- At least two years in a senior claims consultant or higher role or experience working in Claims quality assurance within the Life Insurance industry
- Demonstrated understanding of life, trauma, Lump Sum (TPD), Disability and Income Protection claims assessment and management requirements.
- Demonstrated understanding of relevant regulatory and legal obligations impacting Life Insurance claim assessment
**Additional Information**
Work is a big part of this Australian life, and we work hard to make it one of the best parts. We don’t just say it; we do it. We offer a workplace that’s inclusive and flexible, supporting our people with options that let them make the most of their careers.
We know the value of having different people from all walks of life, with varied points of view and attributes regardless of their age, ethnicity, religion, sexual orientation, gender identity, intersex status or any disabilities they might be living with. We strive for a diverse and inclusive workplace where a sense of belonging encourages people to bring their full selves to work.
LI-Hybrid
Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct when you come to work every day. Risk management is everyone’s responsibility.
Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct when you come to work every day. Risk management is everyone’s responsibility.
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