Claims Technical Specialist

**Company Description**
Welcome to This Australian Life.

From the millions of Australians we protect, to those that make it happen every day at TAL, people really are what we’re all about. We want to grow with you. Achieve with you. And support you to do your best work. That's why we're focused on developing leadership, promoting diversity, rewarding excellence and retaining great talent.

We're always looking for people who want to go further with us. People who do what’s right, aim high, and work smart. Why not discover where we can go?

We offer a unique opportunity to advance your career in the heart of Melbourne, where you'll be supported to thrive in a culture that values development and excellence. Here's what you can expect when you join us:

- ** We’re Growing**:Help shape our future as TAL expands in Melbourne and Sydney.
- ** Learn from the Best**:Work with industry leaders dedicated to your success.
- ** Feel Supported**:Thrive in a culture that values growth and excellence.

We are seeking a detail-oriented and analytical Claims Technical Specialist to join our dynamic team in Sydney, Australia. As a key member of our claims department, you will provide expert technical advice and support to ensure optimal assessment quality and customer outcomes across our insurance portfolios.
- Offer technical guidance and support to the Claims team on assessment and case management matters
- Optimize assessment quality within Income Protection, Life, Trauma, and TPD portfolios
- Support Claims Managers in building their capabilities aligned with company frameworks
- Review and authorize claims, including adverse decision reviews
- Coach Claims Consultants on executing assessment practices efficiently and effectively
- Contribute to the development and enhancement of claims handling procedures and guidelines
- Provide insights into Case Manager technical capabilities for performance management purposes
- Support Team Managers in developing individual uplift plans aligned with the company's capability framework
- Ensure claims handling reflects industry best practices and company policies
- Drive processes to support technical capability development within the claims department
- Collaborate with Client Managers and Team Managers on reporting and fund meetings
- Contribute to the implementation of governance structures and quality assurance measures

**Qualifications**
- Proven experience in a similar role within Life Insurance or extensive experience as a Life Insurance Claims Manager
- Demonstrated ability to coach and embed knowledge, including upskilling case managers
- Comprehensive understanding of the Life Insurance Code of Practice, Insurance Contracts Act, Privacy Principles, and other relevant legislative or regulatory requirements
- Strong analytical skills with the ability to identify and develop strategies to overcome barriers in claims assessment and management
- Excellent written and verbal communication skills
- Proven negotiation and influencing abilities
- Outstanding customer service skills with experience handling a diverse range of clients and stakeholders
- Proficiency in claims management software
- Understanding of medical terminology and conditions relevant to insurance claims
- Bachelor's degree in Business, Commerce, Health, or Allied Health (preferred)
- Diploma or Certificate IV in Life Insurance or equivalent (preferred)
- Expertise in life insurance claims assessment and management, particularly in Income Protection, Life, Trauma, and TPD portfolios

**Additional Information**

To provide you with the best experience, we can accommodate you at any stage of the recruitment process. Simply inform our Recruitment team at any time.

TAL is recognised by the Workplace Gender Equality Agency as an Employer of Choice. We are proud to be a member of Diversity Council Australia and the Australian Network on Disability. For information on our reconciliation journey, please read 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 recognise 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

Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct when you come to work every day. Risk management is everyone’s responsibility.

Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct when you come to work every day. Risk management is everyone’s responsibility.