Claims Technical Specialist
vor 5 Stunden
From the millions of Australians we protect, to those that make it happen every day at TAL, people really are what we're all about.
We want to grow with you.
Achieve with you.
And support you to do your best work.
That's why we're focused on developing leadership, promoting diversity, rewarding excellence, and retaining great talent.
We're always looking for people who want to go further with us.
People who do what's right, aim high, and work smart.
Why not discover where we can go?
Job DescriptionThe Claims Technical Specialist is responsible for providing technical advice, guidance and support to the Claims team on technical assessment and case management matters, to assist in reaching desired claims durations and outcomes in line with the terms and conditions of the policy.
A key focus of the role is to optimise assessment quality within the Income Protection, Life, Trauma and TPD portfolios and support Claims Managers to build their capability in line with the TAL claims capability and delegated authority frameworks.
Key ResponsibilitiesContribute towards a culture of process improvement.
Along with the Team Manager, ensure that change initiatives are embedded and that best practices are adopted.Contribute to department and company projects as required.Maintain current knowledge of life insurance guidelines, processes and policy changes.Ensure claims handling and service approach reflects industry best practice and TAL processes and policies.Act as a subject matter expert, responding to Claims Consultant requests and enquiries and to authorise and review claims (and associated benefits payments).Provide adverse decision review and sign off on assessment, which may require referral to internal Claims review body.Support Claims Consultants to use effective communication with customers, treating health practitioners and other stakeholders.Support Client Managers and Team Managers in their reporting to funds and attendance at fund meetings/case conferences.Develop/enhance claims handling procedures and guidelines as required.Drive processes to support development of technical capability within claims.Coaching Claims Consultants in appropriately executing assessment practices.Provide insights into Case Manager technical capabilities for the purpose of performance management.Deliver training as required.Contribute to the implementation of appropriate governance structures and quality assurance.Ensure compliance with TAL policies, procedures and guidelines.Adhere to external regulations (eg.
Privacy and Life Insurance Code of Practice).QualificationsAt least 2 years' demonstrated experience in a similar role within Life Insurance or 5 years' experience as a Life Insurance Claims Manager or similar.Experience in coaching and embedding knowledge, including an uplift of skills of case managers.Excellent Knowledge of the Life Insurance Code of Practice, Insurance Contracts Act, Privacy Principles and other relevant legislative or regulative requirements.Ability to identify and develop strategies to overcome barriers in claims assessment and management.Strong written and verbal communication, negotiation and influencing skills.Demonstrated ability to provide excellent customer service to a wide range of clients and stakeholders.Relevant tertiary qualifications in Business, Commerce, Health or Allied Health (desirable).Diploma or Cert IV in Life Insurance, or equivalent (desirable).Additional InformationAt TAL we value diversity in all its forms and are committed to fostering an inclusive and equitable culture for all our people.
We encourage Aboriginal and Torres Strait Islander people, individuals from all backgrounds, including those with caring responsibilities, people living with disability, and individuals from the CALD and LGBTQI+ communities to apply.
To provide you with the best experience, we can accommodate you at any stage of the recruitment process.
Simply inform our Recruitment team at any time.
TAL is recognised by the Workplace Gender Equality Agency as an Employer of Choice.
We are proud to be a member of Diversity Council Australia and the Australian Network on Disability.
We acknowledge the Traditional Custodians of the Land in which our Head Office is based, the land of the Gadigal people of the Eora Nation, and recognise their deep connections to the land, sea, and culture.
Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves.
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