Claims - Technical Specialist (Permanent & Fixed Term)

  • Full-time

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.

Job Description

We’re a continually growing team, one that is dynamic in thinking and solutions oriented with people.  Our environment is agile, and we focus on delivering with care and passion for our customers.

The Claims Technical Specialist is responsible for providing technical advice, guidance and support to the Claims team on technical assessment and case management matters, to assist in reaching desired claims durations and outcomes in line with the terms and conditions of the policy.

A key focus of the role is to optimise assessment quality within the Income Protection, Life, Trauma and TPD portfolios and support Claims Managers to build their capability in line with the TAL claims capability and delegated authority frameworks.

  • Ensure claims handling and service approach reflects industry best practice and TAL processes and policies.
  • Act as a subject matter expert, responding to Claims Consultant requests and enquiries and to authorise and review claims Provide adverse decision review and sign off on assessment, which may require referral to internal Claims review body
  • Support Claims Consultants to use effective communication with customers, treating health practitioners and other stakeholders Drive the best service experience and appropriate claim outcomes for the customer
  • Support Client Managers and Team Managers in their reporting to funds and attendance at fund meetings/case conferences  Development/ enhancement of claims handling procedures and guidelines as required. Assist with embedment
  • Drive processes to support development of technical capability within claims and implement strategies
  • Coach Claims Consultants in appropriately executing assessment practices ensuring timely and quality management of claims
  • Provide insights into Case Manager technical capabilities for the purpose of performance management
  • Support the Team Manager in development planning for individuals to uplift their capability in line with TAL’s capability framework
  • Contribute to the implementation of appropriate governance structures and quality assurance to successfully deliver business solutions.

Qualifications

  • Demonstrated experience in a similar role within Life Insurance or extended experience as a Life Insurance Claims Manager or similar
  • Experience in coaching and embedding knowledge, including an uplift of skills of case managers
  • Excellent Knowledge of the Life Insurance Code of Practice, Insurance Contracts Act, Privacy Principles and other relevant legislative or regulative requirements and their application during claims assessment
  • Ability to identify and develop strategies to overcome barriers in claims assessment and management
  • Strong written and verbal communication, negotiation and influencing
  • Demonstrated ability to provide excellent customer service to a wide range of clients and stakeholders
  • 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. 
  • We welcome applications from Aboriginal and Torres Strait Islander people, caregivers, individuals living with disabilities, and the LGBTQIA+ community.
  • Need adjustments during the recruitment process? Let our team know by getting in touch with here.

Ready to make a difference? Apply now and be part of TAL’s leading Claims team!

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.

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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