Senior Claims Consultant

4 weeks ago

Melbourne, Australia TAL Full time
Job Description

The Senior Claims Consultant is responsible for the proactive management of a portfolio of complex life insurance claims in accordance with TAL’s claims philosophy, claims handling procedures, policy terms & conditions and in accordance with the Life Insurance Code of Practice and other legislative and regulatory requirements.

Accountabilities include:

  • 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.
  • Manage a portfolio of complex life insurance claims in a proactive, cost-effective manner.
  • Ensure accurate claim assessment in line with policy terms and conditions.
  • Gathering and interpreting relevant information to form an appropriate claims strategy.
  • Effective determination of correct benefit entitlement ensuring that legitimate claims are paid in a timely manner.
  • Work collaboratively with Technical Specialists, Recovery & Support Specialists, Health Services and other stakeholders.
  • Provide support to the team, through guidance on the claims management process, procedures, contract requirements.
  • Role modelling effective case management and best practice portfolio management.
  • On an as needs basis support the Team Manager with the development of less experienced Claims Consultants.
  • Delivering exceptional customer service.

Qualifications

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. 

  • Demonstrated experience in a similar role (involving life, lump sum, trauma and income protection claims assessment) in the Financial Services/Insurance Industry.
  • Relevant tertiary qualifications in a related field (Desirable)
  • Ability to build rapport and empathy with customers during difficult times
  • Medical, vocational or rehabilitation background (Desirable) 

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.



Additional Information

At TAL 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. 

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, 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 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

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.

If you are already a TAL employee please apply via the SmartRecruiters button in Workday and navigate to the Employee Portal. This is important to ensure that your application is recorded accurately.

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