Senior Claims Consultant, Group Claims

Company Description Welcome to TAL. As a leading life insurer, weve been protecting Australians for over 150 years. Backed by Dai-ichi Life, we are driven by big ambitions and empowered to create better products and services. Together with our partners, we help millions of Australians live a life filled with choices, options, and freedoms. Our culture values flexibility, wellbeing, inclusivity, and a commitment to reimagining insurance. Job Description As a Senior Claims Consultant, youll play a critical role in our Group Claims team, guiding customers through life insurance claims with care, expertise, and efficiency. You will manage a portfolio of Group Life Insurance Claims in accordance with TALs claims philosophy, policy terms, and regulatory requirements. In This Role You Will Manage a portfolio of complex Group Life Insurance 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 46 years experience in Claims across Group Life Insurance, with experience in TPD and Income Protection Claims. Ability to build rapport and empathy with customers during difficult times and a commitment to delivering proactive, highquality customer service. Comfortable navigating claims systems (Fineos, Genesis, OneNote, and Excel). Diploma or CertIV in Life Insurance, or equivalent (desirable). Relevant tertiary qualifications in Business, Commerce, Health or Allied Health (desirable). Demonstrated analytical and problemsolving skills and attention to detail. Advanced time management and prioritisation skills. Additional Information Were proud to be an Inclusive Employer recognized as Employer of Choice for Gender Equality and a Bronze Tier Employer on the Australian Workplace Equality Index. We are a Diversity Champion, a member of the Diversity Council Australia, the Australian Disability Network, Pride in Diversity, and Champions of Change. We are committed to reconciliation; please read our Innovate Reconciliation Action Plan. 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. Please let us know if you need adjustments during the recruitment process. Location and Compensation Millers Point, New South Wales, Australia A$105,000.00 A$126,000.00 per annum #J-18808-Ljbffr

Created: 2025-11-01