Claims Consultant Specialist
2 weeks ago
Tal Services Limited is seeking a skilled Claims Consultant to join our team.
Job Summary: As a Claims Consultant, you will be responsible for the proactive management of a portfolio of life insurance claims.
Key Responsibilities:
- Manage a portfolio of life insurance claims in accordance with our claims philosophy, claims handling procedures, policy terms & conditions, and legislative and regulatory requirements.
- Adhere to external regulations, such as the Privacy and Life Insurance Code of Practice, and all relevant legislation and industry guidelines.
- Provide high-quality, accurate, and compliant work, ensuring all interactions with customers, advisers, and other stakeholders meet our customer service standards.
- Contribute to department and company projects as required.
- Formulate an appropriate claims strategy by gathering and interpreting relevant information.
- Determine correct benefit entitlement, ensuring legitimate claims are paid in a timely manner in accordance with policy terms and conditions.
- Work collaboratively with internal stakeholders, including Technical Specialists, Recovery & Support Specialists, and Health Services.
- Participate in case conferences and peer case discussions, preparing documentation, maintaining records, and completing agreed actions.
- Provide exceptional customer service, proactively managing communication with customers and clients, and initiating support options as needed.
- Manage customer and partner stakeholder relationships, 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).
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