Claims Automation Developer

Pacific Life; Sydney; On-site; AUD 120,000 - 180,000; Full time

Benefits offered by this job

Annual leave

Fertility leave

Parental leave

Income protection

Gym membership

Employee assistance

Job summary

Pacific Life Re seeks a Claims Automation Developer to support automated claims solutions in Australia and collaborate across Underwriting & Claims Solutions. You will translate claims requirements into practical rules and work with partners to implement governance and training.

The role requires life insurance experience in Australia, analytical ability, and advanced Excel or coding skills. You will engage clients, contribute to market strategy, and help deliver value across PL Re’s reinsurance

Qualifications

• Certificate IV in Life Insurance is required.
• Experience in a life and disability claims environment in Australia is essential.
• Familiarity with Australian life insurance products, claims practices and regulatory requirements (LICOP).
• Advanced Excel skills (macros) or coding experience preferred.

Responsibilities

• Automation projects: support implementation of automated claims solutions in ANZ.
• Rule development: translate claims requirements into rules and review rules.
• Client strategy: collaborate with Analytics, UnderwriteMe, Pricing to develop claims solutions.
• Client engagement: support training and knowledge transfer across PL Re solutions.

Skills

Analytical skills

Advanced Excel

Coding experience

Strong communication

Team collaboration

Education

Certificate IV in Life Insurance

Degree preferred

Tools

The Engine

Excel

Job description

Role

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.

Job Title

Claims Automation Developer

Job Description

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.

Rule development - 30%

• 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
• Strong communication skills.
• 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.

Benefits

Leave

• 20+5 days of annual leave with option to buy more days
• Fertility leave
• Generous enhanced parental leave

Healthcare

• 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

Wellness

• Subsidized gym membership
• 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.