Claims Technical Specialist

Company Description

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.

Bring your curiosity, ambition and unique perspective, and help us continue reimagining insurance through innovative thinking, digital capability and a commitment to better outcomes for the people who depend on us.

• 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 clear 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.

• Qualifications
• •Significant experience in Group Life Insurance claims, with demonstrated technical expertise across TPD and Income Protection claims.
• •Strong experience managing complex, sensitive and adverse claims and providing sound technical recommendations.
• •Advanced knowledge of life insurance products, policy interpretation, claims assessment principles, relevant legislation and regulatory requirements.
• •Demonstrated ability to analyse complex information, exercise sound judgement and provide clear, well-reasoned technical direction.
• •Experience coaching, mentoring or developing claims professionals and building technical capability in others.
• •Demonstrated ability to constructively challenge, influence and guide claim strategy and decision-making.
• •Strong written and verbal communication skills, including the ability to translate complex technical matters into clear and practical guidance.
• •Strong stakeholder management skills with demonstrated ability to build effective working relationships across Claims and with internal and external stakeholders.
• •Ability to identify technical themes, capability gaps and opportunities for continuous improvement.
• •A collaborative and pragmatic approach, with the confidence to operate as a trusted technical adviser to Consultants and leaders.
• Benefits

At TAL, we're committed to helping our people thrive both professionally and personally. Depending on your role and eligibility, benefits may include:

• •Flexible and blended ways of working that support your work and personal commitments.
• •Access to learning, leadership development programs, LinkedIn Learning and global career opportunities through the Daiichi Life Group.
• •TAL-funded Life, Income Protection and Total & Permanent Disability insurance, plus employee insurance discounts.
• •Wellbeing support including Employee Assistance Program services, wellbeing resources, annual flu vaccinations and health initiatives.
• •Additional leave benefits including paid parental leave, wellbeing leave, community leave and purchased leave options.
• •Access to TAL Rewards Plus, offering discounts at hundreds of popular retailers and services.

Our Commitment to Inclusion

We're proud to be recognised as an Employer of Choice for Gender Equality and maintain partnerships with organisations including Diversity Council Australia, Australian Disability Network and Pride in Diversity . Through our Innovate Reconciliation Action Plan , we're also committed to building meaningful relationships, creating opportunities and contributing to positive outcomes for Aboriginal and Torres Strait Islander peoples.

We welcome applications from people with diverse experiences, perspectives and backgrounds and are committed to providing an inclusive recruitment experience for all candidates. Need adjustments during the recruitment process? Let our team know by getting in touch with us here we’re here to support you.

If you are already a TAL employee, please apply via the Jobs Hub in Workday. This is important to ensure that your application is recorded accurately.