Claims Consultant
3 weeks ago
The Claims Consultant is responsible for the proactive management of a portfolio of life insurance claims in accordance with TAL's claims philosophy, claims handling procedures, policy terms & conditions and in accordance with the Life Insurance Code of Practice and other legislative and regulatory requirements.
This role involves:
- Ensuring all interactions with customers, advisers and other internal and external stakeholders adhere to TAL's Customer Service Culture through the provision of high-quality, accurate and compliant work.
- Contributing to department and company projects as required.
- Gathering and interpreting relevant information to form an appropriate claims strategy.
- Effective determination of correct benefit entitlement ensuring that legitimate claims are paid in a timely manner in accordance with policy terms and conditions.
- Working collaboratively with Technical Specialists, Recovery & Support Specialists, Health Services and other internal stakeholders.
- Arranging and participating in case conferences and peer case discussions, including preparation of documentation, record keeping and completion of agreed actions.
- Providing exceptional customer service, including proactively managing communication with customers and clients relating to the management of the claim and initiating support options, where appropriate.
- Customer and partner stakeholder management (e.g. advisers, trustees, fund administrators) whilst monitoring service delivery and quality.
To be successful in this role, you will need:
- Experience in a similar claims management role in the Financial Services or Insurance Industry.
- Ability to build rapport and empathy with customers during difficult times and a commitment to delivering proactive, high-quality customer service.
- Advanced time management and prioritisation skills.
- Demonstrated analytical and problem-solving skills and attention to detail.
- Relevant tertiary qualifications in Business, Commerce, Health or Allied Health (desirable).
- Diploma or Cert IV in Life Insurance, or equivalent (desirable).
Please note that as part of the recruitment process, there are a number of checks which may be conducted to demonstrate your eligibility for a role at TAL including Criminal History, Bankruptcy, Entitlement to Work, Regulatory and Reference Checks.
Additional InformationTAL values diversity in all its forms and is committed to fostering an inclusive and equitable culture for all our people. We encourage Aboriginal and Torres Strait Islander people, individuals from all backgrounds, including those with caring responsibilities, people living with disability, and individuals from the CALD and LGBTQI+ communities to apply.
We are proud to be a member of Diversity Council Australia and the Australian Network on Disability. For information on our reconciliation journey, take a look at our Innovate Reconciliation Action Plan.
We acknowledge the Traditional Custodians of the Land in which our Head Office is based, the land of the Gadigal people of the Eora Nation, and recognise their deep connections to the land, sea, and culture.
We extend this acknowledgment to the many Traditional Lands that we operate across and pay our respects to Elders past, present, and emerging.
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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