Senior Claims Consultant

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 Senior Claims Consultant, you’ll play a critical role in our Group 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 Life Insurance 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 Insurance claims, balancing customer needs with policy and business requirements.
• •Communicate effectively with customers, advisers, and treating practitioners via phone and written correspondence.
• •Interpret policy terms, underwriting decisions, and non-disclosure matters to determine claim eligibility.
• •Analyse complex financial and medical information to make sound, evidence-based claims decisions.
• •Develop and monitor Return to Work (RTW) plans in collaboration with customers and healthcare providers.
• •Lead case conferences and employ strategies to gather critical information on customer conditions and work capacity.
• •Collaborate with internal and external stakeholders, including underwriters, rehab consultants, legal and medical officers, and reinsurers.
• •Mentor junior staff and contribute to technical leadership across the claims team.

• Qualifications
• •At least 4-6 years’ experience in Claims across Group Life Insurance claims with experience in TPD and Income Protection Claims Ability to build rapport and empathy with customers during difficult times and a commitment to delivering proactive, high quality customer service.
• •Comfortable navigating claims systems (Fineos, Genesis, OneNote, and Excel) Diploma or Cert IV in Life Insurance, or equivalent (desirable).
• •Relevant tertiary qualifications in Business, Commerce, Health or Allied Health (desirable).
• •Demonstrated analytical and problem-solving skills and attention to detail.
• •Advanced time management and prioritisation skills.
• 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.