Claims Specialist
1 month ago
We are seeking a highly skilled Claims Consultant to join our team at Tal Services Limited. 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:- Adhere to external regulations and all relevant legislation and industry guidelines.
- Ensure all interactions with customers, advisers, and other internal and external stakeholders adhere to our customer service culture through the provision of high-quality, accurate, and compliant work.
- Contribute to department and company projects as required.
- Gather and interpret relevant information to form an appropriate claims strategy.
- Effectively determine correct benefit entitlement, ensuring that legitimate claims are paid in a timely manner 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 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, including monitoring service delivery and quality.
- 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).
We value diversity in all its forms and are 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. Even if you don't check every box in the criteria above, we encourage you to apply today or get in touch with us here.
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 recognize 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.
#LI-Hybrid #LI-Claims #InsuranceClaims
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