Claims Technical Specialist

About the role

TAL, a life insurer backed by Daiichi Life, is hiring a Claims Technical Specialist in Melbourne. The role provides expert technical guidance and oversight across Group Claims, supporting Claims Consultants and Senior Claims Consultants on complex, sensitive and adverse claims. It also builds technical capability across the claims function through coaching, mentoring, case reviews and knowledge sharing.

Key responsibilities

• Provide expert technical advice, guidance and direction on complex, sensitive and technically challenging claims
• Oversee adverse claims, including matters involving contractual remedies
• Review, endorse and authorise claim decisions within delegated authority levels
• Act as subject matter expert in policy interpretation, claims frameworks, legislation and regulatory requirements
• Guide claim strategy and help Consultants identify appropriate pathways
• Coach and mentor Claims Consultants and Senior Claims Consultants
• Support the development of delegated authority through coaching, claim reviews and technical guidance
• Facilitate case conferences, technical forums and claim strategy discussions
• Partner with leaders to identify capability gaps and set up coaching and training
• Support quality assurance, audit, governance and risk activities
• Improve claims processes and build relationships with internal stakeholders and external partners such as rehabilitation providers, medical professionals and superannuation fund partners

Required profile

• Significant experience in Group Life Insurance claims, with technical expertise across TPD and Income Protection claims
• Experience managing complex, sensitive and adverse claims and giving sound technical recommendations
• Advanced knowledge of life insurance products, policy interpretation, claims assessment and relevant legislation and regulation
• Experience coaching, mentoring or developing claims professionals
• Ability to challenge and influence claim strategy and decision-making
• Strong written and verbal communication and stakeholder management skills

What we offer

• Flexible and blended ways of working
• Learning, leadership development programs, LinkedIn Learning and global career opportunities
• TAL-funded life, income protection and total and permanent disability insurance, plus employee insurance discounts
• Wellbeing support including an Employee Assistance Program, annual flu vaccinations and health initiatives
• Paid parental leave, wellbeing leave, community leave and purchased leave options
• TAL Rewards Plus discounts at hundreds of retailers and services