Senior Claims Consultant

Responsibilities

• Manage a portfolio of complex Group Life 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, and medical officers
• Mentor junior staff and contribute to technical leadership across the claims team

Requirements

• 4-6 years of experience in Claims across Group Life Insurance
• Proficiency in claims systems including Fineos, Genesis, OneNote, and Excel
• Demonstrated analytical and problem-solving skills with strong attention to detail
• Ability to build rapport and empathy with customers during difficult times
• Advanced time management and prioritisation skills

Preferred Qualifications

• Diploma or Cert IV in Life Insurance, or equivalent
• Relevant tertiary qualifications in Business, Commerce, Health, or Allied Health

Benefits

• Hybrid working pattern (3 days in office, 2 days working from home)
• Sydney CBD office with an on-site fitness center
• Discounted insurance and health and well-being programs
• Diverse and inclusive work environment with strong commitment to reconciliation

About the Company

TAL is a leading life insurer that has been protecting Australians for over 150 years. Backed by Daiichi Life, we are driven by big ambitions to create better products and services, helping millions of Australians live lives filled with choice and freedom.