Company Description A challenging role where you’ll make a difference to people’s livesCollaborative colleagues and a supportive leadershipA leading life insurer with a proud history Welcome to TAL. As a leading life ins…
Skills: Claims Management, Group Life Insurance, Policy Interpretation, Medical Information Analysis, Return To Work Planning
Life Insurance / Group Insurance Claims Specialist
Brisbane, Queensland, Australia · Hybrid
Senior
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Full-time
professional certificate, bachelor degree
Flexibility, Wellbeing Support, Inclusivity, Learning Opportunities, Career Growth Support
Posted 1d ago
~40 hrs/week
Responsibilities
Manage a portfolio of complex Group Life claims while ensuring compliance with policy terms and the Life Insurance Code of Practice. Provide high-quality customer and client experiences through effective communication and the development of Return to Work plans.
Requirements
Requires 4-6 years of experience in Group Life Insurance claims and proficiency in claims systems like Fineos and Genesis. A Diploma or Cert IV in Life Insurance or a relevant tertiary degree is desired.
Full job description
Company Description
A challenging role where you’ll make a difference to people’s lives
Collaborative colleagues and a supportive leadership
A leading life insurer with a proud history
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.
So, bring a curious mind and an ambition to help us become the progressive, digitally enabled leading insurer.
Job Description
As a Senior Claims Consultant, you’ll play a critical role in our REST 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 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 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
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.
Additional Information
TAL is one of Australia’s leading life insurers, committed to inclusion, and supporting the career growth of our diverse workforce. We’re proud to be:
An Inclusive Employer – Recognised as Employer of Choice for Gender Equality by the Workplace Gender Equality Agency and Bronze Tier Status within the Australian Workplace Equality Index
Diversity Champions – Member of Diversity Council Australia, Australian Disability Network, Pride in Diversity and Champions of Change
We welcome applications from people with diverse experiences, perspectives and backgrounds including Aboriginal and Torres Strait Islander people, caregivers, individuals living with disabilities, people from culturally diverse backgrounds and the LGBTIQ+ community.
Need adjustments during the recruitment process? Let our team know by getting in touch with us —we’re here to support you.
You’re always accountable for your actions. You never give up. You strive to find the best outcomes for customers and partners. And you value working together to find the best solutions for problems.
As part of the recruitment process, there are several checks which may be conducted to demonstrate your eligibility for a role at TAL including Criminal History, Bankruptcy, Entitlement to Work, Regulatory and Reference Checks.
#LI-Hybrid
Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct when you come to work every day. Risk management is everyone’s responsibility.
If you are already a TAL employee please apply via the SmartRecruiters button in Workday and navigate to the Employee Portal. This is important to ensure that your application is recorded accurately.
Related keywords
Life InsuranceGroup Life ClaimsLife Insurance Code of PracticeUnderwritingNon-disclosureReturn To WorkReinsuranceFineosGenesisCase ManagementFinancial AnalysisMedical AnalysisClaims PhilosophyRegulatory Compliance
TAL is Australia's leading life insurance specialist*. For over 150 years, TAL has been protecting people, not things. Together with its partners, TAL insures more than 5 million^ customers and offers life insurance through the following channels: direct to consumer; through a financial adviser; and via group and workplace superannuation schemes. TAL is part of the Daiichi Life Group, one of the world’s largest insurance groups.
House rules Please find our social community guidelines here: https://www.tal.com.au/disclaimer
* Results determined by NMG based on TAL market share of inforce premiums as at 31 March 2024.
^ Based on insured customer policies and insured members of superannuation funds across Group, Retail and Direct
Offices: Sydney, NSW 2000, AU · 390 La Trobe St, Level 6, Melbourne, Victoria 3000, AU
Income Protection/Salary Continuance CoverTerm Life CoverTotal and Permanent Disability CoverFuneral Expenses CoverCritical Illness CoverLife InsuranceRetirementand Lifetime IncomeLife InsuranceInsurance
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