Ai Claims Transformation Tech Ba (7M, Sydney Cbd)

Peoplebank; Sydney; On-site; AUD 150,000 - 190,000; Full time

Benefits offered by this job

20+5 days of annual leave

Fertility leave

Generous parental leave

Job summary

Pacific Life Re is seeking a Claims Automation Developer in Australia to support Underwriting & Claims Solutions. You will develop and implement automated claims propositions and manage client and partner engagements.

The role emphasizes Australian market experience, strong analytical skills, and advanced Excel or coding capabilities, with collaboration across AVP and client teams to deliver scalable automation and rules configuration in The Engine.

Qualifications

• Certificate IV in Life Insurance (or equivalent) required; degree preferred.
• Experience in life and disability claims within Australian insurance or reinsurance.
• Strong knowledge of Australian life insurance products, claims practices, and regulatory requirements including LICOP.
• Advanced Excel skills (macros, complex reporting) or coding experience preferred.
• Proficiency with Word, Excel and Outlook.

Responsibilities

• Automate claims solutions implementations in ANZ with PL Re, UnderwriteMe and client teams.
• Gather requirements, run workshops, test, train and ensure readiness.
• Act as claims SME, advising on rules and implementation decisions.
• Translate requirements into practical rules and ruleset changes for clients.
• Develop knowledge of rules configuration in The Engine to support testing and issue resolution.
• Document rule decisions and learnings for governance and uplift.
• Support client strategy, marketing and pricing activities with partners.
• Provide client training and knowledge transfer on underwriting and claims solutions.

Skills

Analytical skills

Excel macros

Programming experience

Microsoft Office

Education

Certificate IV in Life Insurance

Degree qualification

Tools

The Engine

LICOP knowledge

Job description

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The role of Claims Automation Developer, Underwriting & Claims Solutions, Protection, Australia is to support key and claims related activities within the Underwriting and Claims Solutions team in the Australia region.

As a Claims Automation Developer, you will be working closely with the AVP, Underwriting & Claims Solutions, Protection, Australia to develop and implement an underwriting and claims proposition that meets both client needs as well as being consistent with PL Re’s strategic focus.

Additionally, as a Claims Automation Developer, you will be expected to assist with the management of a portfolio of insurance and UnderwriteMe partner clients.

Job Responsibilities

Automation projects (implementations) - 40%

• Support the implementation of automated claims solutions in ANZ by working closely with PL Re, UnderwriteMe and client teams.
• Contribute across key phases of delivery, including requirements gathering, workshops, testing, training and implementation readiness.
• Act as PL Re’s claims and insurance subject matter expert within the project team, providing practical input on implementation decisions and claims rules.
• Liaise with relevant stakeholders to support coordinated delivery and effective client transition.
• Support the translation of agreed claims requirements into practical rules and ruleset changes for client implementations.
• Review and refine claims rules to ensure they are workable, aligned to client requirements and consistent with implementation objectives.
• Develop working knowledge of rules configuration in The Engine to support effective rules review, testing and issue resolution.
• Document rule decisions, assumptions and learnings to support implementation governance and internal capability uplift.

Client strategy and solutions - 20%

• Play an active role in developing innovative claims solutions for key PMF clients, fostering a client-focused culture. This includes collaborating with Strategic Analytics, UnderwriteMe, Pricing and Client Solutions with a Partnership Team mentality to produce desired outcomes.
• Contribute to market strategy by supporting key marketing, business development, and pricing activities, including the use of UnderwriteMe data.
• Maintain a strong knowledge of broader PL Re reinsurance claims solutions, and contribute to relevant client opportunities.

Client engagement and training -10%

• Support client engagement, training and knowledge transfer across PL Re’s broader reinsurance solutions activity, including but not limited to CRE implementations.
• Provide practical support to help clients adopt and use underwriting and claims solutions effectively, and maintain a positive client experience.

Essential Qualifications & Expertise

• Certificate IV in Life Insurance (or equivalent industry experience) required. Degree qualified preferred
• Proven experience working in a life and disability claims environment within an Australian insurance or reinsurance business, including experience at a senior level where relevant.
• Demonstrated Australian market experience is essential, including familiarity with Australian life insurance products, claims practices and industry requirements.
• Experience handling major Australian life insurance products, including Life cover, Total and Permanent Disablement, Critical Illness and Income Protection.
• Detailed understanding of Australian life insurance business, claims processes, and regulatory requirements, including LICOP
• Strong analytical skills and interest in systems and technology.
• Advanced Excel skills (macros, complex reporting) or coding/programming experience preferred
• High proficiency in Microsoft Word, Excel and Outlook, or similar business tools.

Key Skills & Behaviours

• Demonstrates an appropriate level of technical skills for the role and an appreciation of current issues affecting the life insurance and reinsurance industry.
• Strong interest and aptitude in technology, automation and/or AI
• Ability to work effectively in a team.
• Strong problem identification and solution development capability
• Proven analytical skills.
• Takes responsibility for the quality, completeness and accuracy of work.
• Shows initiative, flexibility and resourcefulness.
• Critically evaluates and challenges current work practices.
• Able to manage challenging deadlines and prioritise effectively.
• Provides accurate and timely updates on work status and escalates issues appropriately.
• Participates actively in meetings and communicates with confidence.
• Committed team member who shares information, knowledge and experience openly.
• Communicates in a clear and practical manner, both verbally and in writing.

Working For Pacific Life Re

Every person in our global team is valued for the unique qualities they bring to our business and we seek to build their expertise and support their individual ambitions at every step. Of course, we take our work seriously and we know our team can operate under great pressure. We work hard and thrive on achievement, but we also know how to have fun and relax too. We regularly host a range of team building days to strengthen our team's connection with each other and reflect on their successes.

Providing employees with a healthy work-life balance is very important to our culture. We have a wide range of employee benefits and we host regular social activities and well being initiatives. We are also committed to supporting our employee's involvement in their communities, by actively fundraising, hosting charity events and overseeing volunteering opportunities.

Leave

20+5 days of annual leave with option to buy more days

Fertility leave

Generous enhanced parental leave

The Company’s Group Salary Continuance Insurance (SCI)/Income Protection (IP) provides you with a continued salary, through monthly Benefit payments, in order to protect your standard of living should you be unable to work due to long term illness, injury or partial/total disability

Access to Employee Assistance Program

Time off for volunteering

Charitable matching of employee donations

You Can Be Who You Are

We are committed to a culture of diversity and inclusion that embraces the authenticity of all employees, partners and communities. We support all employees to thrive and achieve their fullest potential.

As part of our commitment to diversity and inclusion, we will provide reasonable adjustments during the recruitment process to ensure equal access to applicants with disabilities. Please contact us about your needs so that we can discuss these with you to make sure that suitable adjustments are made, where possible.