Australian Super Specialist Claims

**Company Description** At TAL, we support our people to live their best lives with benefits that enhance work-life balance, career growth, and wellbeing. Join our high-performing, customer-focused Claims team and help Australians navigate their life insurance claims journey with confidence. - Wellbeing resources - support for your physical, mental, and financial health - Annual salary reviews + bonus - Family-friendly work hours for great work-life balance - Free skin checks & flu jabs - End-of-trip facilities (showers, lockers, bike storage) **At TAL, we believe in belonging, collaboration, and recognition. We thrive on in-person connection to strengthen relationships, innovate, and solve challenges together.** Claims Management - Manage a portfolio of complex life insurance claims in a proactive, cost-effective manner, ensuring accurate claim assessment in line with policy terms and conditions and active engagement with key stakeholders to deliver timely outcomes for customers. This includes but is not limited to: - Gathering and interpreting relevant information to form an appropriate claims strategy - Effective case noting and record keeping in line with claims handling guidelines - Effective determination of correct benefit entitlement ensuring that legitimate claims are paid in a timely manner in accordance with policy terms and conditions. - Adherence to the designated delegation of authority and associated processes. - Assess and initiate appropriate support options tailored to the customer’s needs where appropriate. - Determination of 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. - Identify and escalate issues and complaints as required to ensure timely claims management and communications. - Provide support to the team, providing guidance on the claims management process, procedures, contract requirements, role modelling effective case management. Provide claims strategy sign off within delegation limits. Client Service - 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 (e.g. advisers, trustees, fund administrators) whilst monitoring service delivery and quality Mentoring - Role model best practice portfolio management for team - In some instances, and on an "as needs basis", support the Team Manager with the development of less experienced Claims Consultants **Qualifications** - At least 1-2 years’ experience in Life Insurance claims management at a similar level. - 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 prioritisation 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) **Additional Information** TAL is one of Australia’s leading life insurers, committed to inclusion, diversity, and career growth. We’re proud to be**: - Employer of Choice - Recognised by the Workplace Gender Equality Agency - Diversity Champions - Member of Diversity Council Australia & Australian Network on Disability - Reconciliation Advocates - Read our Innovate Reconciliation Action Plan. - Need adjustments during the recruitment process? Let our team know by getting in touch with here. **LifeInsuranceJobs#HybridWork #InsuranceJobs #LI-Hybrid** You’re always accountable for your actions. You never give up. You strive to find the best outcomes for customers and partners. And you value working together to find the best solutions for problems. As part of the recruitment process, there are a number of checks which may be conducted to demonstrate your eligibility for a role at TAL including Criminal History, Bankruptcy, Entitlement to Work, Regulatory and Reference Checks. LI-Hybrid 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.