Claims Automation Developer

Pacific Life Re Limited; Sydney; On-site; AUD 120,000 - 160,000; Full time

Job summary

Pacific Life Re Limited in Sydney seeks a Claims Automation Developer to support automation projects within the Underwriting & Claims Solutions team in Australia. You will work with stakeholders to implement automated claims solutions and contribute to client-facing initiatives.

The role requires experience in life and disability claims in Australia, strong analytical skills, and advanced Excel or coding experience. Knowledge of LICOP and Australian regulatory requirements is a plus.

Qualifications

• Certificate IV in Life Insurance (or equivalent); degree-qualified preferred.
• Proven experience in a life and disability claims environment in Australian insurance or reinsurance.
• Strong knowledge of Australian life insurance products, claims practices and regulatory requirements (LICOP).
• Advanced Excel skills (macros, complex reporting) or coding/programming experience.
• High proficiency in Word, Excel and Outlook.

Responsibilities

• Automation projects: support implementations of automated claims solutions with PL Re and client teams.
• Contribute across key phases of delivery, including requirements gathering, workshops, testing and implementation readiness.
• Document rule decisions, assumptions and learnings to support governance and client transitions.

Skills

Advanced Excel

Analytical skills

Coding/Programming

Education

Certificate IV in Life Insurance

Degree preferred

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.