Senior Claims Consultant

🇦🇺 Australia - Remote
⚖️ Finance & Legal🟣 Senior

Job description

Company Description

Welcome to TAL. As a leading life insurer, we’ve been protecting Australians for over 150 years. Backed by Dai-ichi 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 Senior Claims Consultant, you’ll take the lead in managing complex life insurance claims with care, expertise, and integrity. You’ll ensure every claim is handled in line with our claims philosophy and industry standards while delivering clear, compassionate communication to customers, advisers, and partners. Join us to make a real difference by driving quality health and claim outcomes and providing an exceptional experience every step of the way.

In This Role You Will

  • Manage high-complexity Group Life Insurance claims, including large-value cases, litigation, and escalations, with a focus on Death, Total and Permanent Disability (TPD), and Income Protection products.
  • Assess claims by interpreting medical evidence, employment history, legal documentation, and policy terms to determine validity and ensure fair outcomes.
  • Apply analytical thinking and sound judgment to make evidence-based decisions aligned with policy provisions, regulatory standards, and the Life Insurance Code of Practice.
  • Communicate empathetically and professionally with claimants, trustees, employers, and other stakeholders, providing clear explanations and guidance throughout the claims process.
  • Collaborate effectively with internal and external parties, including medical professionals, rehabilitation providers, and legal representatives, to support holistic claim resolution.
  • Investigate complex cases with a keen eye for detail, identifying inconsistencies or missing information to ensure accurate and compliant claim outcomes.
  • Uphold high standards of documentation accuracy, policy interpretation, and payment calculations to maintain quality assurance and regulatory compliance.

Qualifications

  • At least 2-4 years’ experience handling life insurance claims in a similar role.
  • Strong interpersonal skills with the ability to connect empathetically with customers during challenging situations.
  • Relevant tertiary qualifications in Business, Commerce, Health, or Allied Health are preferred.
  • Diploma or Certificate IV in Life Insurance, or equivalent, is an advantage.
  • Excellent time management and ability to prioritise tasks effectively.

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’re always accountable for your actions. You never give up. You strive to find the best outcomes for customers and partners. And you value working 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.

#LI-Hybrid

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.

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