Claims Specialist
3 weeks ago
Tal Services Limited is seeking a skilled Claims Consultant to join our team. As a Claims Consultant, you will be responsible for the proactive management of a portfolio of life insurance claims in accordance with our claims philosophy, claims handling procedures, policy terms & conditions, and legislative and regulatory requirements.
Key Responsibilities:
- Manage a portfolio of life insurance claims in accordance with our claims philosophy and procedures.
- Ensure all interactions with customers, advisers, and other stakeholders adhere to our customer service culture.
- Contribute to department and company projects as required.
- Gather and interpret relevant information to form an appropriate claims strategy.
- Effectively determine correct benefit entitlement and ensure timely payment in accordance with policy terms and conditions.
- Work collaboratively with technical specialists, recovery & support specialists, health services, and other internal stakeholders.
- Arrange and participate in case conferences and peer case discussions, including preparation of documentation, record keeping, and completion of agreed actions.
- Provide exceptional customer service, including proactive management of communication with customers and clients relating to the management of the claim and initiation of support options, where appropriate.
- Manage customer and partner stakeholder relationships, including advisers, trustees, fund administrators, while monitoring service delivery and quality.
Requirements:
- 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 prioritization 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).
About Us:
Tal Services Limited is committed to developing leadership, promoting diversity, rewarding excellence, and retaining great talent. We strive for a diverse and inclusive workplace where a sense of belonging encourages people to bring their full selves to work.
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