Claims Governance

4 weeks ago

Sydney, Australia Tal Services Limited Full time

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 see where we can go?

Job Description

9-month fixed term contract opportunity 

This role is responsible for the delivery of Line 1 Risk & Governance activities which support the Claims teams at TAL within across all channels and portfolios. 

The Claims Governance & Risk Specialist will actively participate and support the compliance and risk management strategies for Claims team including (but not limited to) contributing to proactive risk management through insights, continuous improvement & relevant internal frameworks and policies along with input into risk management strategy development.

  • Deliver timely Governance & Risk Management analysis and advice to the Claims business unit to enable the business to be commercially successful and fully compliant with legal and regulatory requirements. 
  • Provide structured feedback and recommendations to manage the risks identified on claims and claims practices in line with claims risk and compliance frameworks and community expectations.
  • Engage with relevant stakeholders across TAL (including the wider Claims team) to identify opportunities for learning, improvement, and training. Then initiate activities that support driving these changes.
  • In consultation with Customer Experience, Internal and External Disputes Resolutions teams identify trends to ensure continuous improvements in complaints resolution and support necessary complaints guidance/training coaching to the business re the complaints process where required.
  • Undertake reviews associated with correspondence from the LCCC including drafting of responses as required.
  • Support and advise the business to identify, classify, measure and monitor their risks and/or compliance requirements and issues, including assisting with critical control monitoring and testing.
  • Liaise with the Claims Governance & Risk team, Risk Office and TAL Claims Team Managers, to ensure quality controls up to date and consistent with current policies. 
  • Support and advise the business to identify, classify, measure and monitor their risks and/or compliance requirements and issues. 
  • Support the business to develop the appropriate Governance & Risk Management and/or Compliance culture within the organisation. 
  • Implement and deliver guidelines and procedures within the scope of responsibility, reviewing their quality and efficiency and formulating recommendations for improvements that meet best practice and business goals. 
  • Prepare and analyse standard and non-standard management information reports with relevant data to help management decision-making within the Business Unit and/or the wider TAL Job Family Groups. 

Qualifications

  • Significant experience (5+years) in a relevant Risk Management and/or Compliance environment and/or Technical Claims environment or similar.
  • Degree qualified in a business-related line e.g. legal/accounting/commerce/risk would be advantageous.
  • Sound understanding of the legal and regulatory framework surrounding life insurance and of managing risk in such an environment.
  • A sound understanding of life insurance industry, claims handling, and complaints resolution experience is highly desirable. 
  • Track record of delivering sustainable solutions to reduce or eliminate inefficiency in business processes.
  • Excellent interpersonal skills and an ability to work as a team member.
  • Relevant analytic / problem solving ability.
  • Ability to influence and achieve outcomes in consultation with senior management & key stakeholders across the organisation.
  • Strong written and verbal communication with a proven ability to articulate technical issues; and
  • Ability to develop strong working relationships across all levels.

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.

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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