TAL
Insurance
SeniorClaimsConsultant
Neural analysis suggests this role is
optimal for mid candidates.
“Senior Claims Consultant at TAL. Skills: Group Life Claims, Customer service, Stakeholder collaboration. Manage complex Group Life claims. Communicate with customers”
What You'll Achieve.
Deliver quality health outcomes; Deliver quality claim outcomes
Industry & Context.
Analytical skills; Problem-solving skills
What They're Looking For.
Must Have
4-6 years experience in Claims, 4-6 years experience in Group Life Insurance
Nice to Have
Diploma or Cert IV in Life Insurance, Relevant tertiary qualifications in Business, Relevant tertiary qualifications in Commerce, Relevant tertiary qualifications in Health, Relevant tertiary qualifications in Allied Health
What You'll Do.
Manage complex Group Life claims
Communicate with customers
Communicate with advisers
Communicate with treating practitioners
Interpret policy terms
Interpret underwriting decisions
Interpret non-disclosure matters
Determine claim eligibility
Analyse financial information
Analyse medical information
Make evidence-based claims decisions
Develop Return to Work plans
Monitor Return to Work plans
Lead case conferences
Employ strategies to gather information
Collaborate with internal stakeholders
Collaborate with external stakeholders
Contribute to technical leadership
How You'll Work.
Team & Collaboration
Internal stakeholders; External stakeholders; Underwriters; Rehab consultants; Legal officers; Medical officers
Communication Scope
Written correspondence; Verbal communication
Full Job Description
* A challenging role where you’ll make a difference to people’s lives * Collaborative colleagues and a supportive leadership * A leading life insurer with a proud history 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. 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 corre
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