Claims Technical Specialist | Group Life Insurance
******* Melbourne / Permanent
You know the person in a claims team everyone calls when something doesn't quite fit?
The TPD claim no one wants to call too early.
The adverse decision that needs another set of eyes.
The policy wording that has everyone reading it twice.
...This role is for that person
You'll move away from managing your own claims portfolio and into a dedicated
Claims Technical Specialist
role, supporting consultants and leaders across complex Group Life claims.
Strong TPD focus, but the real mandate is broader: lift technical capability across the claims function through coaching, challenge, quality and smarter decision-making
Your value here isn't measured by how many claims sit in your name.
It's in the judgement, technical depth and confidence you bring when a claim needs more.
What You'll Do
Provide technical guidance across complex and sensitive claims
Help shape claim strategy where the answer isn't obvious
Review medical, vocational and other claim evidence
Support complex and adverse claim decisions, including matters above delegated authority
Interpret policy terms, legislation and delegated authority requirements
Coach Claims Consultants and Senior Consultants through technical matters
Adapt your coaching style depending on the individual, situation and level of support required
Complete technical and quality reviews
Identify recurring capability gaps and development opportunities
Contribute to claims procedures, standards and capability initiatives




Partner with claims leaders on matters requiring deeper technical input
What We're Looking For
You'll already have strong technical experience within
Life Insurance Claims
, ideally within Group Life.
You're likely someone who:
Has strong TPD claims experience
Is confident interpreting complex medical and vocational evidence
Understands policy terms, legislation and delegated authority
Has experience with complex or adverse claim decisions
Is already the person colleagues turn to when they need a second view
Enjoys coaching and developing others
Can challenge someone's thinking without simply taking over the decision
Knows that the same coaching approach won't work for every person
Can adjust your style depending on capability, confidence and the context in front of you
This is not a siloed Techy role..
The strongest person will combine technical credibility with emotional intelligence and know when to
challenge, coach, ask another question, give more direction or simply give someone confidence in the decision they've already reached.
Why Consider It?
No personal claims portfolio
Genuine technical specialist career path
Major capability and coaching mandate
Complex, interesting work with broader influence across a large claims setting
Dedicated technical and capability function
Clear pathway to deepen your technical expertise while influencing how claims capability is built across the business
If you still enjoy complex claims but no longer want your day dictated by a personal portfolio, this could be a very natural next move.
#J-*****-Ljbffr

📌 Claims Technical Specialist | Group Life Insurance... (Melbourne)
🏢 Ensure Recruitment
📍 Melbourne