Claims Consultant, Group Multi Claims

TAL Australia; Sydney; Hybrid; AUD 90,000 - 110,000; Full time

Benefits offered by this job

Competitive salary

Annual reviews

Wellbeing benefits

Hybrid model

Career growth

Job summary

TAL Australia is seeking a Claims Consultant to manage Group Multi fund life insurance claims from start to finish, delivering a seamless customer experience. You will interpret legacy policy terms and manage multiple policy changes to determine entitlements.

The role focuses on client and adviser relationships, regular updates, and collaboration with medical, legal, and external providers to achieve timely outcomes.

Qualifications

• Experience with life insurance claims within Group policies, IP/TPD preferred.
• Experience with Workers' Compensation or Return to Work claims with allied health background.
• Strong analytical, problem-solving and time-management skills.
• Excellent communication and empathy to support customers during challenging times.
• Solid understanding of injuries, illnesses and treatment.

Responsibilities

• Deliver best-in-class customer and adviser experience with regular claims status updates.
• Independently manage a portfolio of TPD and IP claims end-to-end.
• Assess, analyse, calculate and finalise claims payments with external/internal teams.
• Provide exceptional service in line with policy and procedures.
• Participate in case conferences, peer discussions, and instruct third-party providers.

Skills

Group policy claims

TPD/IP claims experience

Workers' Comp / Return to Work

Analytical skills

Communication & empathy

Injury & treatment knowledge

Job description

• Competitive Salary + Bonus + Annual Reviews
• Wellbeing Benefits – Mental, Physical & Financial Support
• Full time, permanent contract
• Collaborative team with supportive leadership
• Internal career growth opportunities

Company Description

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.

• 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

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 paymentsActive 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

Qualifications

• 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

Additional Information

• 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’realwaysaccountable for your actions. You never give up. You strive to find the best outcomes for customers and partners.Andyou valueworking 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.

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.