TAL

Insurance

ClaimsTechnicalSpecialist

A$125–175k ~AI est. Melbourne, Victoria, Australia FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for mid candidates.

The Brief

“Claims Technical Specialist at TAL. Skills: Claims assessment, Decision making. Provide expert technical guidance. Improve assessment quality”

What You'll Achieve.

Improving assessment quality; Supporting sound decision-making; Ensuring claims are managed in line with policy terms; Building technical capability; Driving consistent outcomes; Driving best-practice claims management

Industry & Context.

Insurance
Problems you'll solve

Identify issues; Drive effective claims solutions

What They're Looking For.

Must Have

Experience in Group life insurance claims, Proven ability to coach and uplift case manager capability, Knowledge of life insurance legislation, Knowledge of claims frameworks, Ability to identify issues, Ability to drive effective claims solutions

Nice to Have

Relevant qualifications, Insurance certification

What You'll Do.

Provide expert technical guidance

Improve assessment quality

Support sound decision-making

Ensure claims are managed in line with policy

Ensure claims are managed in line with delegated

Ensure claims are managed in line with TAL

Build technical capability across the team

Drive consistent outcomes

Drive best-practice claims management

Review complex claim decisions

Authorise complex claim decisions

Review adverse claim decisions

Authorise adverse claim decisions

Coach Claims Consultants

Improve assessment quality

Improve communication

Support managers with fund reporting

Support managers with case conferences

Support managers with stakeholder engagement

Contribute to claims procedures

Contribute to claims governance

Contribute to claims quality assurance

Provide insights to support capability development

Provide insights to support performance management

How You'll Work.

Team & Collaboration

Stakeholder engagement

Communication Scope

Communication skills

Full Job Description

Why join us? Welcome to TAL. As a leading life insurer, we’ve been protecting Australians for over 150 years. Backed by Daiichi Life, we're driven by big ambitions and empower to create better products and services. Together with our Partners, we’re helping millions of Australians live a life filled with choices, options, and freedoms. See the direct impact you make delivering support and financial security with care and expertise. Grow beyond expectations with diverse roles, global connections, and exclusive learning opportunities. Work with passionate, bright and capable colleagues. Feel inspired by supportive leaders. Collaborate with heart, where flexibility, wellbeing and inclusivity is valued. Together, we're reimagining insurance. So, bring a curious mind and an ambition to help us become the progressive, digitally enabled leading insurer. The Opportunity: As a Claims Technical Specialist, you’ll provide expert technical guidance to Claims Consultants across Income Protection, Life, and TPD. Your focus will be improving assessment quality, supporting sound decision-making, and ensuring claims are managed in line with policy terms, delegated authorities, and TAL frameworks. You’ll play a key role in building technical capability across the team, driving consistent outcomes and best-practice claims management. In this role you will: * Ensure claims are managed in line with TAL policies and industry best practice * Act as the technical SME, reviewing and authorising complex and adverse claim decisions * Coach Claims Consultants to improve assessment quality, communication and outcomes * Support managers with fund reporting, case conferences and stakeholder engagement * Contribute to claims procedures, governance and quality assurance * Provide insights to support capability development and performance management ## Qualifications Qualifications: * Experience in Group life insurance claims in a technical specialist or senior claim’s role * Proven ability to coach

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