Claims Technical Specialist

TAL Australia; City of Melbourne; On-site; AUD 120,000 - 160,000; Full time

Job summary

TAL Australia is seeking a Claims Technical Specialist to provide expert technical guidance across Group Claims. You will support Claims Consultants and leaders in managing complex, sensitive, and adverse claims with sound judgement and regulatory alignment.

You will build technical capability across the team through coaching, case reviews and knowledge sharing, helping to strengthen claims practices and ensure high-quality outcomes for customers.

Qualifications

• Significant experience in Group Life Insurance claims, including TPD and Income Protection.
• Ability to analyse complex information and provide clear guidance.
• Experience coaching or developing claims professionals.

Responsibilities

• Provide expert technical advice across complex, sensitive claims.
• Review and endorse claim decisions within delegated authority.
• Coach and mentor Claims Consultants to strengthen capability.
• Identify opportunities to improve claims processes.
• Collaborate with leaders and stakeholders to align strategy.

Skills

Group Life Claims

TPD & IP claims

Adverse claims

Policy interpretation

Stakeholder management

Coaching

Communication

Job description

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.

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.

Job Description

As a Claims Technical Specialist, you will provide expert technical guidance and oversight across Group Claims, supporting Claims Consultants, Senior Claims Consultants and leaders in the management of complex, sensitive and adverse claims.

You will play a key role in driving high-quality and consistent claim outcomes through the application of sound technical judgement, policy interpretation, legislative and regulatory requirements, and best-practice claims management. Beyond individual claim support, you will build technical capability across the broader claims function through coaching, mentoring, case reviews and knowledge sharing.

Working collaboratively with Claims Consultants and leaders, you will provide clear technical direction, positively influence claim strategy and decision-making, and identify opportunities to strengthen claims practices and capability.

In This Role You Will

• Provide expert technical advice, guidance and direction across complex, sensitive and technically challenging claims.
• Provide technical oversight and support across adverse claims, including matters involving contractual remedies.
• Review, endorse and authorise claim decisions within delegated authority levels, ensuring decisions are appropriately reasoned and supported.
• Act as a subject matter expert in policy interpretation, claims frameworks, relevant legislation and regulatory requirements.
• Provide guidance on claim strategy, supporting Consultants to identify appropriate pathways and progress claims effectively.
• Coach and mentor Claims Consultants and Senior Claims Consultants to strengthen technical capability, judgement, decision-making and confidence.
• Support the development and uplift of delegated authority through targeted coaching, claim reviews and technical guidance.
• Facilitate case conferences, technical forums and claim strategy discussions to support consistent decision-making and shared learning.
• Partner with leaders to identify technical capability gaps and establish appropriate coaching, training and development initiatives.
• Support quality assurance, audit, governance and risk activities and contribute to improvements arising from identified trends or themes.
• Identify opportunities to improve claims processes, technical guidance and ways of working, contributing to consistent and best-practice claims management.
• Build effective working relationships with internal stakeholders and relevant external partners, including rehabilitation providers, medical professionals and superannuation fund partners.

Qualifications

• Significant experience in Group Life Insurance claims, with demonstrated technical expertise across TPD and Income Protection claims.
• Strong experience managing complex, sensitive and adverse claims and providing sound technical recommendations.
• Advanced knowledge of life insurance products, policy interpretation, claims assessment principles, relevant legislation and regulatory requirements.
• Demonstrated ability to analyse complex information, exercise sound judgement and provide clear, well-reasoned technical direction.
• Experience coaching, mentoring or developing claims professionals and building technical capability in others.
• Demonstrated ability to constructively challenge, influence and guide claim strategy and decision-making.
• Strong written and verbal communication skills, including the ability to translate complex technical matters into clear and practical guidance.
• Strong stakeholder management skills with demonstrated ability to build effective working relationships across Claims and with internal and external stakeholders.
• Ability to identify technical themes, capability gaps and opportunities for continuous improvement.
• A collaborative and pragmatic approach, with the confidence to operate as a trusted technical adviser to Consultants and leaders.

Additional Information

TAL is one of Australia’s leading life insurers, committed to inclusion, and supporting the career growth of our diverse workforce. We’re proud to be:

• 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.