Life Insurance/Group Insurance Claims Specialist

Responsibilities

• Conduct strategic reviews of Income Protection (IP) and Total and Permanent Disability (TPD) claims to identify appropriate pathways for timely outcomes.
• Review and interpret medical, financial, vocational, and employment evidence to support claim progression.
• Identify key claim issues, evidentiary requirements, and liability considerations.
• Develop clear, evidence-based recommendations to support decision-making and claim advancement.
• Apply policy terms, industry standards, legislation, and procedural requirements accurately.
• Liaise with claimants, employers, medical practitioners, and other stakeholders to obtain necessary information.
• Prepare accurate file notes, assessment summaries, and review documentation.

Requirements

• Demonstrated experience in Group Insurance and/or Life Insurance from an insurer perspective.
• Technical proficiency in Income Protection (IP) and TPD assessment and decision-making.
• Proven experience reviewing claims and interpreting complex medical and financial evidence.
• Strong analytical and critical thinking capabilities.
• Excellent written and verbal communication skills for articulating findings and recommendations.
• Strong stakeholder management skills and a customer-centric mindset.
• Ability to thrive in a fast-paced, high-volume environment.

Benefits

• Flexible working arrangements including hybrid work options.
• Access to diverse engagements and various life insurance operating models.
• Opportunities for professional growth and broadening technical capability.
• Inclusive and equitable company culture.
• Various perks including health and wellbeing initiatives and learning opportunities.

About the Company

KPMG is a professional services firm with global outreach and deep sector experience. We work with clients across an array of industries to solve complex challenges, steer change, and enable growth. Our Claims and Workplace Health practice partners with insurers and employers to enhance claims performance and deliver practical solutions that improve customer outcomes.