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Insurance Claims Specialist
2 months ago
Company Overview
Welcome to TAL Services Limited.
At TAL, we prioritize the people we serve and those who contribute to our mission every day. Our commitment is to foster growth, achievement, and support for our employees, ensuring they can perform at their best. We are dedicated to leadership development, promoting diversity, rewarding excellence, and retaining top talent.
We are in search of individuals who aspire to excel with us, who uphold integrity, set ambitious goals, and work efficiently. Explore the potential of where we can go together.
Position Overview
The Claims Consultant plays a crucial role in the proactive oversight of a portfolio of life insurance claims, adhering to TAL's claims philosophy, established procedures, policy stipulations, and compliance with the Life Insurance Code of Practice along with other legislative and regulatory mandates.
Key Responsibilities:
- Complying with external regulations (e.g., Privacy and Life Insurance Code of Practice) and all pertinent legislation and industry standards.
- Ensuring all interactions with clients, advisers, and other stakeholders reflect TAL's commitment to exceptional customer service through high-quality, accurate, and compliant work.
- Contributing to departmental and organizational projects as needed.
- Collecting and analyzing relevant information to develop an effective claims strategy.
- Determining correct benefit entitlements to ensure timely payment of legitimate claims in line with policy terms and conditions.
- Collaborating with Technical Specialists, Recovery & Support Specialists, Health Services, and other internal teams.
- Organizing and participating in case conferences and peer discussions, including documentation preparation, record-keeping, and follow-up on agreed actions.
- Delivering outstanding customer service by proactively managing communication with clients regarding claim management and initiating support options when necessary.
- Managing relationships with customers and partner stakeholders (e.g., advisers, trustees, fund administrators) while monitoring service delivery and quality.
Qualifications
We seek individuals who take accountability for their actions, demonstrate perseverance, and strive for optimal outcomes for customers and partners. Teamwork is essential in finding effective solutions to challenges.
- Experience in a similar claims management position within the Financial Services or Insurance sector.
- Ability to establish rapport and empathy with clients during challenging times, with a commitment to delivering proactive, high-quality customer service.
- Strong time management and prioritization skills.
- Proven analytical and problem-solving abilities with keen attention to detail.
- Relevant tertiary qualifications in Business, Commerce, Health, or Allied Health (preferred).
- Diploma or Certificate IV in Life Insurance, or equivalent (preferred).
Additional Information
At TAL, we celebrate diversity in all its forms and are committed to creating an inclusive and equitable culture for all our employees. We encourage applications from Aboriginal and Torres Strait Islander peoples, individuals from diverse backgrounds, those with caregiving responsibilities, people living with disabilities, and members of the CALD and LGBTQI+ communities. Even if you do not meet every criterion, we invite you to reach out and apply.
To ensure the best experience, we can accommodate you at any stage of the recruitment process. Please inform our Recruitment team at any time.
TAL is recognized by the Workplace Gender Equality Agency as an Employer of Choice. We proudly participate in Diversity Council Australia and the Australian Network on Disability. For insights into our reconciliation journey, please refer to our Innovate Reconciliation Action Plan.
We acknowledge the Traditional Custodians of the land on which our Head Office operates and respect their deep connections to the land, sea, and culture. We extend this acknowledgment to the many Traditional Lands we operate across and pay our respects to Elders past, present, and emerging.
At TAL, every employee is responsible for upholding the principles outlined in our Code of Conduct and managing risk effectively.
