Senior Claims Consultant - Group Life Insurance

About the role

TAL, a life insurer backed by Daiichi Life, is looking for a Senior Claims Consultant for its Group Claims team in Sydney. You will guide customers through life insurance claims with care and efficiency, proactively managing a portfolio of Group Life Insurance claims in line with the claims philosophy, handling procedures, policy terms and conditions, the Life Insurance Code of Practice and legislative requirements. A key focus is delivering a high-quality customer and client experience, including regular updates on claim status and managing expectations.

Key responsibilities

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

Required profile

• At least 4-6 years' experience in claims, including Group Life Insurance, TPD and Income Protection claims.
• Ability to build rapport and empathy with customers during difficult times and a commitment to proactive, high-quality customer service.
• Diploma or Cert IV in Life Insurance, or equivalent (desirable).
• Relevant tertiary qualification in Business, Commerce, Health or Allied Health (desirable).

Required skills

• Comfortable using claims systems such as Fineos, Genesis, OneNote and Excel.
• Analytical and problem-solving skills, attention to detail, advanced time management and prioritisation.

What we offer

• Flexible and blended ways of working.
• Learning, leadership development programs, LinkedIn Learning and global career opportunities through the Daiichi Life Group.
• TAL-funded Life, Income Protection and Total & 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 with discounts at hundreds of retailers and services.