Senior Claims Consultant
TAL Australia
Brisbane
2 days ago
Senior Claims Consultant
TAL seeks a Senior Claims Consultant to manage complex Group Life claims in a hybrid role based in Brisbane. The role requires 4-6 years of claims experience and strong communication skills. You'll guide customers through claims with care and efficiency.
Hybrid
Full-time
Senior
Life Insurance
Claims Management
Salary
Not specified
Core Qualifications
Technical (Must-have)
Life InsuranceClaims ManagementReturn to Work
Soft Skills
communicationempathyanalyticalproblem-solvingattention to detailtime managementprioritisation
Tools (Must-have)
FineosGenesisOneNoteExcel
Key Responsibilities
- Manage a portfolio of complex Group Life 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
Senior Claims ConsultantInsuranceGroup Life InsuranceClaims ManagementHybridBrisbaneCustomer ServiceMentoring