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. A key focus of this role involves providing a best-in-class customer and client (e.g. advisers, trustees, fund administrators) experience, including regular communication in relation to the status of claims and managing expectations, to deliver on quality health and claim outcomes.
Accountabilities include:
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
Delivering exceptional customer service
