Total 20 job vacancies by TAL

The Claims Consultant is responsible for the proactive management of a portfolio of 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.  

This may include but is not limited to;

• Adhering to external regulations (e.g. Privacy and Life Insurance Code of Practice) and all relevant legislation and industry guidelines.
• Ensuring all interactions with Customers, Advisers and other internal and external stakeholders adhere to TAL’s Customer Service Culture through the provision of high-quality, accurate and compliant work.
• Contributing to department and company projects as required.
• 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 in accordance with policy terms and conditions.
• Working collaboratively with Technical Specialists, Recovery & Support Specialists, Health Services and other internal stakeholders.
• Arranging and participating in case conferences and peer case discussions, including preparation of documentation, record keeping and completion of agreed actions.
• Providing exceptional customer service, including proactively managing communication with customers and clients relating to the management of the claim and initiating support options, where appropriate.
• Customer and partner stakeholder management (e.g. advisers, trustees, fund administrators) whilst monitoring service delivery and quality.

Recruiting now for a start date of Monday 13th January 2025.

The role of a Claims Consultant is a challenging and rewarding role within the Life Insurance Industry. It requires you to assess and adjudicate on claims made by individuals under their policies who are at their most vulnerable (sick or injured) efficiently, fairly, and honestly. As a part of the role, you will at times interact with a variety of customers, doctors, accountants, lawyers, rehabilitation experts with a goal to make decisions.

It is different every day. We recognise that when our customers come to us with a claim, they’re setting out in a direction they didn’t expect. As the experts, our Claims team offers guidance and support and help them navigate something they’ve probably never experienced before. We make sure we’re providing clarity and certainty every step of the way.

Recruiting now for a start date of Monday 13th January 2025.

The role of a Claims Consultant is a challenging and rewarding role within the Life Insurance Industry. It requires you to assess and adjudicate on claims made by individuals under their policies who are at their most vulnerable (sick or injured) efficiently, fairly, and honestly. As a part of the role, you will at times interact with a variety of customers, doctors, accountants, lawyers, rehabilitation experts with a goal to make decisions.

It is different every day. We recognise that when our customers come to us with a claim, they’re setting out in a direction they didn’t expect. As the experts, our Claims team offers guidance and support and help them navigate something they’ve probably never experienced before. We make sure we’re providing clarity and certainty every step of the way.

• 12-Month Fixed Term Contract

Are you ready to help shape the future of insurance? Join us at TAL as a Claims Policy & Communications Consultant, where you’ll play a key role in supporting the transformation of our claims process through best-in-class collateral that ensures compliance with regulatory requirements.

In this dynamic 12-month project role, you’ll be responsible for driving the delivery of claims correspondence into our cutting-edge digital platform.

What you’ll be doing:

• Leading the transformation of claims correspondence delivery in partnership with Continuous Delivery and Claims Effectiveness teams.
• Managing and maintaining our letter and form catalogues, ensuring key regulatory compliance, including the Life Insurance Code of Practice.
• Building strong relationships with stakeholders to ensure we deliver exceptional service and outcomes for our customers.
• Administering change briefing sessions to keep key players informed and engaged throughout the project.
• Staying up to date with industry trends to anticipate business impacts and maintain excellence in claims collateral management.

This role is your opportunity to contribute to meaningful change and help protect the lives of millions of Australians through innovative, customer-focused solutions.

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

The Claims Consultant is responsible for the proactive management of a portfolio of 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.  

This may include but is not limited to;

• Adhering to external regulations (eg. Privacy and Life Insurance Code of Practice) and all relevant legislation and industry guidelines.
• Ensuring all interactions with Customers, Advisers and other internal and external stakeholders adhere to TAL’s Customer Service Culture through the provision of high-quality, accurate and compliant work.
• Contributing to department and company projects as required.
• 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 in accordance with policy terms and conditions.
• Working collaboratively with Technical Specialists, Recovery & Support Specialists, Health Services and other internal stakeholders.
• Arranging and participating in case conferences and peer case discussions, including preparation of documentation, record keeping and completion of agreed actions.
• Providing exceptional customer service, including proactively managing communication with customers and clients relating to the management of the claim and initiating support options, where appropriate.
• Customer and partner stakeholder management (e.g. advisers, trustees, fund administrators) whilst monitoring service delivery and quality.

The Manager, Claims Operational Risk will lead delivery of day-to-day operational risk management across claims. 

The role is responsible for executing the Line 1 risk management framework, including but not limited to, RCSA actions & controls, control assurance & testing, identification and tracking of Incidents, Risk Committee oversight and reporting, along with relevant risk-based reporting & analytics. 

This role will also be involved in supporting the business to satisfy their responsibilities in complying with TAL risk frameworks and processes.  In addition, this role will contribute to the analysis and implementation of various identified risk & compliance initiatives.

The Manager, Customer Solutions will lead a dedicated team in delivering critical customer remediation activities. This includes conducting root cause analysis and developing rectification strategies while collaborating closely with key stakeholders to drive the implementation of remediation initiatives. These initiatives, which include identified remediation and operational resilience projects, will be executed in alignment with TAL’s commitment to outstanding customer outcomes and our Customer philosophies within the risk management framework.

In this role, you'll also support the business in meeting its responsibilities under TAL's risk frameworks and processes. Additionally, you’ll play a pivotal role in analysing and implementing various identified risk and compliance initiatives, ensuring we continue to uphold the highest standards across the organisation.

Start Date: Monday - 07 October 2024

The role of a Claims Consultant is a challenging and rewarding role within the Life Insurance Industry. It requires you to assess and adjudicate on claims made by individuals under their policies who are at their most vulnerable (sick or injured) efficiently, fairly, and honestly. As a part of the role, you will at times interact with a variety of customers, doctors, accountants, lawyers, rehabilitation experts with a goal to make decisions.

It is different every day. We recognise that when our customers come to us with a claim, they’re setting out in a direction they didn’t expect. As the experts, our Claims team offers guidance and support and help them navigate something they’ve probably never experienced before. We make sure we’re providing clarity and certainty every step of the way.

Elevate your career with TAL! We're seeking a visionary leader to steer the strategy and implementation of our claims proposition for Aware Super. In this role, you'll drive continuous improvement, lead a team of claims experts, and ensure our services exceed expectations. You’ll play a pivotal role in delivering excellence, fostering growth, and strengthening our partnerships.

Beyond strategy and operations, you’ll be a people-focused leader, inspiring your team and promoting a culture of engagement and collaboration. By nurturing talent and empowering your team, you'll ensure they thrive and deliver exceptional results.

Your focus will be on optimising systems and operations while upholding TAL’s reputation for outstanding service. Success means not only meeting but exceeding the expectations of Aware Super and our valued customers.

Key Objectives:

• Deliver service excellence that drives retention and growth.
• Ensure all commitments are fulfilled with high satisfaction.
• Provide strategic advice and oversight to ensure top-tier performance.
• Cultivate a positive, engaged team that is motivated to achieve and exceed goals.

If you’re ready to make a significant impact and lead with excellence, this role is for you!

Start Date: Monday - 07 October 2024

The role of a Claims Consultant is a challenging and rewarding role within the Life Insurance Industry. It requires you to assess and adjudicate on claims made by individuals under their policies who are at their most vulnerable (sick or injured) efficiently, fairly, and honestly. As a part of the role, you will at times interact with a variety of customers, doctors, accountants, lawyers, rehabilitation experts with a goal to make decisions.

It is different every day. We recognise that when our customers come to us with a claim, they’re setting out in a direction they didn’t expect. As the experts, our Claims team offers guidance and support and help them navigate something they’ve probably never experienced before. We make sure we’re providing clarity and certainty every step of the way.

This role is accountable for handling the process aspects of claims assessing required by Claims Consultants to assess claims. The Claims Assistant will also assess low complexity claims as well as assessing and initiating appropriate support options tailored to the customer’s needs where appropriate.

This role is integral to meeting the quality and service standards which ensure the functions are meeting TAL’s Customer and Claims requirements.

• Ensure compliance with TAL policies, procedures and guidelines procedures, ensuring claims management is in accordance with the TAL claims philosophy
• Adhere to external regulations (e.g., Privacy and Life Insurance Code of Practice) and all relevant legislation and industry guidelines
• Ensure all interactions with Customers, Advisers and other internal and external stakeholders adhere to TAL’s
• Customer Service Culture through the provision of high-quality, accurate and compliant work
• Liaise closely across the TAL Claims and other relevant internal departments to provide support in project work (including system and user acceptance testing and procedural reviews)
• Contribute towards a culture of process improvement
• Contribute to department and company projects as required 
• Other ad-hoc duties as required.

Undertake customer service and administration in support of the Claims function, including but not limited to:

• Preparing initial claims for assessment
• Labelling Documents in claims systems
• Monitoring team workflows and taking actions to ensure workflow prioritisation and portfolio management
• Co-ordinating referrals including Medebridge, CDAP, Health Team, Reinsurance
• Scheduling and co-ordinating appointments
• Data entry
• Oversight of claims closures
• Placing LTC checklists into claims
• Oversight of invoicing
• Summarising information from customers e.g., medical reports, clinical notes, rehab updates and progress claim forms
• Answering simple queries from customers e.g., Request for Payment Summaries or payment due dates
• Logging Complaints and Incidents on behalf of consultants
• Holiday/ leave and coverage
• Management of Low Complexity Claims portfolio
• New consultant process coaching
• Draft simple letters to customers – e.g., 5.5 /Payment letters Minimum 1-2 years in a customer service-based role
• Excellent problem-solving skills
• Ability to build rapport over the phone and demonstrate empathy with customers during difficult times
• Outstanding relationship management and negotiation skills
• Meticulous attention to detail
• Understanding of medical terminology (desirable)

The Customer Solutions Analyst, Claims role will support the analysis and end to end delivery of remediations impacting TAL customers as well as internal stakeholders.

The role is responsible for analysing customer impact due to a remediation and supporting the broader team in the development and delivery of customer remediation activities, including root cause analysis and rectification strategy.

The role will work closely with key stakeholders across the TAL business to support the implementation of remediation initiatives within the Customer Solutions, Claims function. Particular focus is given to ensuring effective customer outcomes in line with TAL’s Customer philosophies within the risk management framework.

The Customer Solutions Analyst, Claims role is responsible for facilitating working groups and workshops to obtain stakeholder engagement and ensure appropriate business oversight and accountability, as well as driving remediation outcomes through the working group discussions.

In addition, this role will contribute to the analysis and implementation of various identified remediation and operational resilience strategic initiatives.

Identification and implementation of remediation activities during phases of the remediation lifecycle as follows:

• Conducting root cause analysis of identified risks in consultation with the business
• Working with stakeholders during remediation analysis to ensure development of a sound remediation approach and agreement on scope
• Supporting the formulation of strategies and implementation plans for key corrective actions and preventative controls, including obtaining relevant approvals
• Clearly documenting remediation details, decisions, and outcomes in the appropriate document format
• Ensuring high quality of data and record keeping which will support ad hoc remediation reporting as required
• Working closely with DnA or SMEs to request/refine data extracts for remediation scope analysis
• Conducting data-based analysis to determine remediation volumes and financial impact to customers/business
• Liaising with the business to understand as-is processes both to enable policy level review and provide recommendations of to-be processes where required
• Supporting the frontline business by developing FAQ’s, Fact Sheets, and other supporting training documentation
• Supporting Claims Training and Development Teams with roll-out of new processes that have been recommended due to a remediation
• Liaising directly with the operations team to ensure that all customer impacting items are remediated within agreed timeframes, including contact with the customers
• Supporting the Claims Risk & Governance to develop appropriate communication strategies and assist in drafting of communications as well as testing where required
• Executing remediation plans including system processes and liaising directly with customers via telephone contact or written communication as required to obtain information or provide update.
• Thinking outside the box to understand and develop new approaches for complex scenarios where BAU processes may not support, including consideration of downstream impacts
• Working with the Claims, Line 1 Risk team on incident management and adequate visibility of all items identified requiring remediation
• Ensuring quality checks are completed where required such as customer communications.
• Ensuring adherence to the TAL remediation policies
• Supporting the delivery of small to medium scale projects or well-defined tasks on major projects to improve operational resilience, including process improvement initiatives

Paying claims is the most important thing we do. At TAL our Claims Teams are committed to providing an outstanding claims experience for our customers. TAL’s Claims teams are structured to support the customers of our three key business channels being Retail, Group and Direct. 

Working in the Retail Claims Lumpsum team, this role is accountable for the provision of personal and empathic service to clients and the proficient assessment of life claims in accordance with TAL’s claims philosophy, claims procedures, policy wording, and within stated authority limits.

In this role you will,  

• Independently manage a portfolio of claims end-to-end
• Active engagement of key stakeholders to deliver timely outcomes for customers
• Assess, analyse, calculate and finalize claims payments in a timely and accurate manner
• Provide exceptional customer service including management of claims, communication and inquiries
• Liaise with internal and external stakeholders, to ensure the timely and quality management of claims
• Participation in case conferences, peer case discussions, instructing third party service providers

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. 

This role is responsible for providing quality assurance in relation to claim assessment in line with the TAL claims quality framework and risk management principles.A key focus of this role is to promote a culture of risk management and continuous improvement by providing risk-based detective controls and insights relating to claim assessment. You may be required to lead the delivery of small to medium scale projects or well-defined tasks on major projects to enable QA remediation or continuous improvement initiatives

This role is an exciting opportunity to support the Head of Business Management and 1L Risk and Senior Manager Risk - Finance in the maintenance of Finance's Risk Management Framework.

The Finance Risk Manager is a delivery role which will assist with risk and control assessment across Finance. The role is responsible for contributing to initiatives within the Finance business risk function, with a specific focus on executing the Annual Risk and Control Self-Assessment, Control Assurance Plan and Incident and Breach Management process on behalf of Finance.

This role will support and advise the business to identify, classify, measure and monitor their risks and/or compliance requirements and issues and specifically;

• Lead and execute on the Line 1 Controls Assurance plan
• Lead and execute in the Line 1 Risk reporting framework
• Lead in managing the quality of Finance data in TRACx (Risk management system)
• Partnering with business stakeholders in completing their Risk and Control Self-Assessments
• Support Finance to continue to develop a sound Risk Management and/or Compliance culture within the organisation.
• Partnering with business stakeholders to assess and document the operational and compliance risk elements associated with the current suite of change initiatives across Finance.

Key accountabilities:

• Responsible for supporting the Head of Business Management and 1L Risk and Senior Manager Risk - Finance in the establishment and maintenance of Finance's Risk Management Framework.
• Deliver timely Risk Management and/or Compliance analysis and advice to specific areas of the organisation to enable the business to be commercially successful and fully compliant with legal and regulatory requirements.
• Responsible for conducting risk assessments on the design and operational effectiveness of Finance's key processes and produce timely control assurance reporting.
• Responsible for assisting the business in identifying and formulating corrective strategies and implementation plans for key corrective actions and preventative controls.
• Support the managing of the monthly Finance Risk Committee including leading the discussions on deep dives sessions and insights on risk matters such as Incident root-causes.
• Responsible for assist the Finance team members in identifying the potential risks and compliance issues associated with their day-to-day business goals, including assisting the incident and breach reporting process.
• Support Finance to continue to develop a sound Risk Management and/or Compliance culture within the organisation.

This role is responsible for leading the Claims Quality Assurance team and providing quality assurance in relation to claim assessment in line with the TAL claims quality framework and risk management principles. A key focus of this role is to promote a culture of risk management and continuous improvement by providing risk based detective controls and insights relating to claim assessment. You may be required to lead the delivery of small to medium scale projects or well-defined tasks on major projects to enable QA remediation or continuous improvement initiatives.

This role is accountable for supporting customers through claims lodgement and information gathering in order to assess claims. The Claims Service Consultant will also assess low complexity claims as well as assessing and initiating appropriate support options tailored to the customer’s needs where appropriate. 

This role is integral to this is quality and service standards which ensure the functions are meeting TAL’s Customer and Claims requirements.

• Ensure compliance with TAL policies, procedures and guidelines procedures, ensuring claims management is in accordance with the TAL claims philosophy 
• Adhere to external regulations (eg. Privacy and Life Insurance Code of Practice) and all relevant legislation and industry guidelines
• Ensure all interactions with Customers, Advisers and other internal and external stakeholders adhere to TAL’s Customer Service Culture through the provision of high-quality, accurate and compliant work
• Liaise closely across the TAL Claims and other relevant internal departments to provide support in project work (including system and user acceptance testing and procedural reviews) 
• Contribute towards a culture of process improvement
• Contribute to department and company projects as required
• Other ad-hoc duties as required.

As the Senior Lead – Strategy, you will play a pivotal role in developing and driving the strategic direction of TAL. Working closely with TAL’s business units, you will support with the identification, analysis, development, and recommendation of strategic initiatives.
You will help facilitate and deliver the annual strategy process of TAL, including the development of the Board Strategy Day Workshop materials and reporting to TAL’s parent company, Dai-ichi Life.

This is a permanent role, working flexibly from our Sydney office.

In this role you will: 

• Drive critical thinking to define and assess the overarching strategic themes to enable TAL to pursue its Purpose.
• Evaluate external factors and market trends to identify potential strategic risks and growth opportunities for TAL, keeping key decision makers informed.
• Lead strategic projects and initiatives to improve strategic planning and to create shareholder value for TAL.
• Lead the development of strategic narratives and communicate clear insights and recommendations to senior leaders in the business or key decision-makers.
• Develop reports and presentations for the Board and Executive Team and interpret complex material for Board and Executive Team strategy planning.
• Research, evaluate and recommend strategic initiatives that are of benefit to TAL (e.g., growth opportunities, corporate development opportunities).
• Lead the team, making sure that the appropriate people plan is in place to recruit, retain, train & develop people effectively.
• Build strong networks across TAL to encourage cross-functional connections and knowledge sharing, and work collaboratively with internal and external stakeholders.