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Claims Consultant Expert
2 weeks ago
At TAL Australia, we're dedicated to providing exceptional customer experiences. As a Senior Claims Consultant, you'll play a crucial role in ensuring that our customers receive the best possible outcomes for their complex life insurance claims.
Job DescriptionThis challenging role involves proactively managing a portfolio of intricate life insurance claims in accordance with our claims philosophy, procedures, policy terms, and regulatory requirements. You'll be responsible for delivering high-quality customer service, including regular communication regarding claim status and expectations management.
The key accountabilities of this position include:
- Managing a portfolio of complex life insurance claims in a proactive, cost-effective manner.
- Ensuring accurate claim assessment aligns with policy terms and conditions.
- Gathering and interpreting relevant information to formulate an appropriate claims strategy.
- Effective determination of correct benefit entitlement, ensuring legitimate claims are paid in a timely manner.
- Collaborating with Technical Specialists, Recovery & Support Specialists, Health Services, and other stakeholders.
- Providing guidance on the claims management process, procedures, and contract requirements to support team members.
- Modeling effective case management and best practice portfolio management.
- On an as-needs basis, supporting the Team Manager in developing less experienced Claims Consultants.
- Delivering exceptional customer service.
