TAL
Insurance
ClaimsTechnicalSpecialist
Neural analysis suggests this role is
optimal for mid candidates.
“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.
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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