The Senior Claims Consultant is responsible for the proactive management of a portfolio of complex life insurance claims in accordance with TAL’s claims philosophy, claims handling procedures, policy terms & conditions and in accordance with the Life Insurance Code of Practice and other legislative and regulatory requirements.
Accountabilities include:
- Provide support to the team, providing guidance on the claims management process, procedures, contract requirements, role modelling effective case management. Provide claims strategy sign off within delegation limits.
- Manage a portfolio of complex life insurance claims in a proactive, cost-effective manner.
- Ensure accurate claim assessment in line with policy terms and conditions.
- Gathering and interpreting relevant information to form an appropriate claims strategy.
- Effective determination of correct benefit entitlement ensuring that legitimate claims are paid in a timely manner.
- Work collaboratively with Technical Specialists, Recovery & Support Specialists, Health Services and other stakeholders.
- Provide support to the team, through guidance on the claims management process, procedures, contract requirements.
- Role modelling effective case management and best practice portfolio management.
- On an as needs basis support the Team Manager with the development of less experienced Claims Consultants.
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.
