Job Description

As a Claims Technical Specialist, you will provide expert technical guidance and oversight across Group Claims, supporting Claims Consultants, Senior Claims Consultants and leaders in the management of complex, sensitive and adverse claims.

You will play a key role in driving high-quality and consistent claim outcomes through the application of sound technical judgement, policy interpretation, legislative and regulatory requirements, and best-practice claims management. Beyond individual claim support, you will build technical capability across the broader claims function through coaching, mentoring, case reviews and knowledge sharing.

Working collaboratively with Claims Consultants and leaders, you will provide explicit technical direction, positively influence claim strategy and decision-making, and identify opportunities to strengthen claims practices and capability.

In this role you will:

- Provide expert technical advice, guidance and direction across complex, sensitive and technically challenging claims.
- Provide technical oversight and support across adverse claims, including matters involving contractual remedies.
- Review, endorse and authorise claim decisions within delegated authority levels, ensuring decisions are appropriately reasoned and supported.
- Act as a subject matter expert in policy interpretation,



claims frameworks, relevant legislation and regulatory requirements.
- Provide guidance on claim strategy, supporting Consultants to identify appropriate pathways and progress claims effectively.
- Coach and mentor Claims Consultants and Senior Claims Consultants to strengthen technical capability, judgement, decision-making and confidence.
- Support the development and uplift of delegated authority through targeted coaching, claim reviews and technical guidance.
- Facilitate case conferences, technical forums and claim strategy discussions to support consistent decision-making and shared learning.
- Partner with leaders to identify technical capability gaps and establish appropriate coaching, training and development initiatives.
- Support quality assurance, audit, governance and risk activities and contribute to improvements arising from identified trends or themes.
- Identify opportunities to improve claims processes, technical guidance and ways of working, contributing to consistent and best-practice claims management.
- Build effective working relationships with internal stakeholders and relevant external partners, including rehabilitation providers, medical professionals and superannuation fund partners.

📌 Claims Technical Specialist (Melbourne)
🏢 TAL
📍 Melbourne