Senior Claims Consultant - REST
As a Senior Claims Consultant, you’ll play a critical role in our REST Claims team, guiding customers through life insurance claims with care, expertise, and efficiency. You will be responsible for the proactive management of a portfolio of 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.
A key focus of this role involves providing a best-in-class customer and client (e.g. advisers, trustees, fund administrators) experience, including regular communication in relation to the status of claims and managing expectations, to deliver on quality health and claim outcomes.
In this role you will:
- Manage a portfolio of complex Group Life claims, balancing customer needs with policy and business requirements.
- Communicate effectively with customers, advisers, and treating practitioners via phone and written correspondence.
- Interpret policy terms, underwriting decisions, and non-disclosure matters to determine claim eligibility.
- Analyse complex financial and medical information to make sound, evidence-based claims decisions.
- Develop and monitor Return to Work (RTW) plans in collaboration with customers and healthcare providers.
- Lead case conferences and employ strategies to gather critical information on customer conditions and work capacity.
- Collaborate with internal and external stakeholders, including underwriters, rehab consultants, legal and medical officers, and reinsurers.
- Mentor junior staff and contribute to technical leadership across the claims team.
Qualifications
- At least 4-6 years’ experience in Claims across Group Life Insurance
- Ability to build rapport and empathy with customers during difficult times and a commitment to delivering proactive, high quality customer service.
- Comfortable navigating claims systems (Fineos, Genesis, OneNote, and Excel)
- Diploma or Cert IV in Life Insurance, or equivalent (desirable).
- Relevant tertiary qualifications in Business, Commerce, Health or Allied Health (desirable).
- Demonstrated analytical and problem-solving skills and attention to detail.
- Advanced time management and prioritisation skills.
Additional Information
TAL is one of Australia’s leading life insurers, committed to inclusion, and supporting the career growth of our diverse workforce. We’re proud to be:
- An Inclusive Employer – Recognised as Employer of Choice for Gender Equality by the Workplace Gender Equality Agency and Bronze Tier Status within the Australian Workplace Equality Index
- Diversity Champions – Member of Diversity Council Australia, Australian Disability Network, Pride in Diversity and Champions of Change
- Reconciliation Advocates – Read our Innovate Reconciliation Action Plan.
- We welcome applications from people with diverse experiences, perspectives and backgrounds including Aboriginal and Torres Strait Islander people, caregivers, individuals living with disabilities, people from culturally diverse backgrounds and the LGBTIQ+ community.
- Need adjustments during the recruitment process? Let our team know by getting in touch with us here.—we’re here to support you.
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 several 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.
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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.