Group Claims Technical Specialist
vor 4 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 see where we can go?Job DescriptionProvide ongoing coaching and mentoring to Case Managers (and/or external stakeholders) on the claims management process, enabling them to provide exceptional customer service to clients, including guidance on handling communication with clients relating to the management of their claim and attending to client's enquiries;Being the escalation point for technical advice for Case Managers, undertake duties including:Authorise and review claims (and associated benefits payments), including where above delegated authority of Case Managers;Interpretation and advice regarding hypothetical claims scenarios;Undertake quality assurance reviews of claims files;Provide advice on the technical interpretation of policies and contract requirements;Take accountability for the resolution of customer complaints or requests for decision reviews (within authority);Continuously support the Claims Team Manager (or Senior Claims Specialists), including acting as the second-in-charge for the relevant Claims Team, triaging of claims files to Case Managers, providing feedback to the Claims Team Manager on the successes and development opportunities for Case Managers, as required;Liaising with internal and external stakeholders, to ensure the timely and quality management of claims, including participating in case conferences, peer case discussions and working closely with the Claims Technical Training team to identify and develop training package needs;Generation of reports for the Claims Team and Claims Leadership Team (such as Traffic Light reports), to enable the efficient and effective management of the team;Continuously reviewing Claims processes and frameworks to seek out opportunities for improvement in the overall claims experience for customers;Participate in business area and/or Company projects as required.QualificationsExperience in a similar role, within Retail or Group Life Insurance (including income protection, lump sum or trauma claims assessment).Ability to build rapport and empathy with customers and stakeholders during difficult times.Meticulous with a strong attention to detail.Medical, vocational or rehabilitation background (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.
Even if you don't check every box in the criteria above, we encourage you to apply today or get in touch with us here.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.
For information on our reconciliation journey, please read our Innovate Reconciliation Action Plan.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.
We extend this acknowledgment to the many Traditional Lands that we operate across and pay our respects to Elders past, present, and emerging.
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