Senior Life Claims Advisor — Hybrid & Impactful

TAL Limited; Sydney; Hybrid; AUD 110,000 - 140,000; Full time

Benefits offered by this job

Hybrid model

Wellbeing benefits

Discounted insurance

Health programs

Employee benefits

Job summary

TAL Limited in Sydney, Australia, is seeking a Senior Claims Consultant to lead complex Group Life Insurance claims with care, accuracy and regulatory compliance.

You will provide best-in-class customer and adviser experiences, manage claim statuses, and collaborate with underwriters, medical officers, and reinsurers to deliver quality outcomes. The role also involves mentoring junior staff and contributing to technical leadership.

Qualifications

• At least 4-6 years’ experience in Claims across Group Life Insurance claims with experience in TPD and Income Protection Claims.
• Ability to build rapport and empathy with customers during difficult times and a commitment to delivering proactive, high quality customer service.
• Comfortable navigating claims systems (Fineos, Genesis, OneNote, and Excel)
• Diploma or Cert IV in Life Insurance, or equivalent (desirable).
• Relevant tertiary qualifications in Business, Commerce, Health or Allied Health (desirable).
• Demonstrated analytical and problem-solving skills and attention to detail.
• Advanced time management and prioritisation skills.

Responsibilities

• Manage a portfolio of complex Group Life Insurance claims, balancing customer needs with policy and business requirements.
• Communicate effectively with customers, advisers, and treating practitioners via phone and written correspondence.
• Interpret policy terms, underwriting decisions, and non-disclosure matters to determine claim eligibility.
• Analyse complex financial and medical information to make sound, evidence-based claims decisions.
• Develop and monitor Return to Work (RTW) plans in collaboration with customers and healthcare providers.
• Lead case conferences and employ strategies to gather critical information on customer conditions and work capacity.
• Collaborate with internal and external stakeholders, including underwriters, rehab consultants, legal and medical officers, and reinsurers.
• Mentor junior staff and contribute to technical leadership across the claims team.

Skills

Claims experience

Empathy

Communication

Analytical thinking

Time management

Education

Dip/Cert IV Life Insurance

Business/Commerce/Health degree

Tools

Fineos

Genesis

OneNote

Excel

Job description

TAL Limited in Sydney, Australia, is seeking a Senior Claims Consultant to lead complex Group Life Insurance claims with care, accuracy and regulatory compliance.

You will provide best-in-class customer and adviser experiences, manage claim statuses, and collaborate with underwriters, medical officers, and reinsurers to deliver quality outcomes. The role also involves mentoring junior staff and contributing to technical leadership.