Claims Consultant, Group Multi Claims

Job description

As a Claims Consultant within our Group space for our Group Multi fund, you will manage life insurance claims from start to finish, providing a seamless experience for our customers. The Group Multi portfolio is considered one of the most complex due to the age and variability of policy terms. As such, this role requires careful interpretation of legacy policy terms and multiple layers of policy changes to accurately determine member entitlement. In this role you will: 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. Independently managing a portfolio of TPD and IP claims end-to-end Assess, analyse, calculate and finalise claims payments Active engagement of external treating doctors, rehabilitation consultants as well as in house medical and legal specialists and delivering timely outcomes for our customer Provide exceptional customer service in accordance with our philosophy, policy and claims procedures Participate in case conferences, peer case discussions, and instructing third party service providers Life insurance claims management experience within Group policy - IP and/or TPD claims experience is ideal OR; Workers Compensation or Return to Work claims management experience with an Allied Health background Strong analytical, problem-solving & time-management skills Excellent communication & empathy to support customers during challenging times. Solid understanding of injuries, illnesses and treatment 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 Reconciliation Advocates – 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. Need adjustments during the recruitment process? Let our team know by getting in touch with us here. —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 . Company Description Competitive Salary + Bonus + Annual Reviews Flexible Work Hours | Hybrid Model Wellbeing Benefits – Mental, Physical & Financial Support Full time, permanent contract Collaborative team with supportive leadership Internal career growth opportunities 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.