Welcome to TAL. As a leading life insurer,we’vebeen protecting Australians for over 150 years. Backed by Daiichi Life,we'redriven by big ambitions and empower to create better products and services.

Together with our Partners,we’rehelping 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 andexpertise. Grow beyond expectations with diverse roles, global connections, and exclusive learning opportunities.

Work with passionate,brightand capable colleagues. Feel inspired by supportive leaders. Collaborate with heart, where flexibility, wellbeing and inclusivity is valued. Together,we'rereimagining insurance.

So, bring a curious mind and an ambition to help us become the progressive, digitally enabled leading insurer.

Job Description

The Claims Technical Specialistis responsible forprovidingtechnical advice,guidanceand support to the Claims team on technical assessment and case management matters, toassistin reaching desired claims durations and outcomes in line with the terms and conditions of the policy.

Technical Support

Act as a subject matter expert, responding to Claims Consultant requests and enquiries and to authorise and review claims (and associated benefits payments)

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 to drive the best service experience andappropriate claimoutcomes for the customer

Support Client Managers and Team Managers in their reporting to funds and attendance at fund meetings/case conferences related to technical claim outcomes asrequired

Team Capability





Drive processes to support development of technical capability within claims and implement strategiesltodevelop technical skills in line with the TAL claims capability framework resulting in progression of delegated authoritiesin a timely manner

Coaching Claims Consultants in appropriately executing assessment practices ensuring thetimelyand quality management of claims. Including completing 'above delegation' and 'within delegation' reviews of individuals work and recording outcomes and opportunities for development

Compliance

Contribute to the implementationofappropriate governancestructures and quality assurance to successfully deliver business solutions.

Adherence to external regulations (eg.Privacy and Life Insurance Code of Practice) and all relevant legislation and industry guidelines

Qualifications

At least 2years’demonstrated experience in a similar role within Life Insurance or 5 years’ 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 toidentifyand develop strategies to overcome barriers in claims

Relevant tertiary qualifications in Business, Commerce,Healthor Allied Health (desirablenot essential).

Diploma or Cert IV in Life Insurance, or equivalent (desirablenot essential).

Additional Information

Additionalinformation

TAL is one of Australia’s leading life insurers, committed to inclusion,



and supporting the growth opportunities of our diverse workforce.We’reproud 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

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 bygetting in touch withushere. -we’rehere to support you.

You’realwaysaccountable for your actions. You never give up. You strive to find the best outcomes for customers and partners.Andyou valueworking together to find the best solutions for problems.

As part of the recruitment process, there are several checks which may be conducted todemonstrateyour 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.

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.

Job Location

#J-18808-Ljbffr

📌 Claims Technical Specialist (City of Sydney)
🏢 TAL
📍 City of Sydney