Claims Technical Specialist

TAL Australia; City of Melbourne; On-site; AUD 110,000 - 150,000; Full time

Benefits offered by this job

Bonus 10%

Inclusive employer

Diversity champions

Reconciliation action plan

Job summary

TAL Australia is seeking a Claims Technical Specialist to provide expert guidance across Income Protection, Life, and TPD claims. You will enhance assessment quality, support sound decision-making, and ensure adherence to policy terms, delegated authorities, and TAL frameworks.

You will build technical capability, drive consistent outcomes, and promote best-practice claims management. You will coach Claims Consultants to improve assessment quality, communication and outcomes, while partnering

Qualifications

• ESSENTIAL: Experience in Group life insurance claims in a technical specialist or senior claim’s role.
• Proven ability to coach and uplift case manager capability
• Strong knowledge of life insurance legislation and claims frameworks
• Ability to identify issues and drive effective claims solutions
• Strong communication, influencing and stakeholder management skills
• Customer-focused approach with sound judgement
• Relevant qualifications or insurance certification (desirable)

Responsibilities

• Ensure claims are managed in line with TAL policies and industry best practice
• Act as the technical SME, reviewing and authorising complex and adverse claim decisions
• Coach Claims Consultants to improve assessment quality, communication and outcomes
• Support managers with fund reporting, case conferences and stakeholder engagement
• Contribute to claims procedures, governance and quality assurance
• Provide insights to support capability development and performance management

Skills

Group life claims experience

Coaching capability

Life insurance legislation knowledge

Issue identification

Communication & stakeholder management

Customer-focused decision making

Insurance qualifications/certification

Education

Relevant qualifications or insurance certification (desirable)

Job description

Why join us?

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.

Company Description

Why join us?

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.

Job Description

The Opportunity

As a Claims Technical Specialist, you’ll provide expert technical guidance to Claims Consultants across Income Protection, Life, and TPD. Your focus will be improving assessment quality, supporting sound decision-making, and ensuring claims are managed in line with policy terms, delegated authorities, and TAL frameworks. You’ll play a key role in building technical capability across the team, driving consistent outcomes and best-practice claims management.

In this role you will:

• Ensure claims are managed in line with TAL policies and industry best practice
• Act as the technical SME, reviewing and authorising complex and adverse claim decisions
• Coach Claims Consultants to improve assessment quality, communication and outcomes
• Support managers with fund reporting, case conferences and stakeholder engagement
• Contribute to claims procedures, governance and quality assurance
• Provide insights to support capability development and performance management

Qualifications

Qualifications:

• ESSENTIAL: Experience in Group life insurance claims in a technical specialist or senior claim’s role
• Proven ability to coach and uplift case manager capability
• Strong knowledge of life insurance legislation and claims frameworks
• Ability to identify issues and drive effective claims solutions
• Strong communication, influencing and stakeholder management skills
• Customer-focused approach with sound judgement
• Relevant qualifications or insurance certification (desirable)

Additional Information

• 10% annual short term incentive (bonus)
• 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.

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