Total 4 qa specialist job vacancies in Melbourne Corporate

• Provide ongoing coaching and mentoring to Case Managers (and/or external stakeholders) on the claims management process, enabling them to provide exceptional customer service to clients, including guidance on handling communication with clients relating to the management of their claim and attending to client’s enquiries;
• Being the escalation point for technical advice for Case Managers, undertake duties including:
  • Authorise and review claims (and associated benefits payments), including where above delegated authority of Case Managers;
  • Interpretation and advice regarding hypothetical claims scenarios;
  • undertake quality assurance reviews of claims files;
  • provide advice on the technical interpretation of policies and contract requirements; and
  • take accountability for the resolution of customer complaints or requests for decision reviews (within authority);
• Continuously support the Claims Team Manager (or Senior Claims Specialists), including acting as the second-in-charge for the relevant Claims Team, triaging of claims files to Case Managers, providing feedback to the Claims Team Manager on the successes and development opportunities for Case Managers, as required;
• Liaising with internal and external stakeholders, to ensure the timely and quality management of claims, including participating in case conferences, peer case discussions and working closely with the Claims Technical Training team to identify and develop training package needs;
• Generation of reports for the Claims Team and Claims Leadership Team (such as Traffic Light reports), to enable the efficient and effective management of the team;
• Continuously reviewing Claims processes and frameworks to seek out opportunities for improvement in the overall claims experience for customers;
• Participate in business area and/or Company projects as required

• The Customer Experience Specialist is primary responsibility is to provide a ‘best in industry’ experience when dealing with all customers (internal and external) through adhering to the customer practices, being authentic, empathetic, engaging, risk aware and doing what you say you’re going to do.
• The Customer Experience Specialist is pivotal in focusing on first call resolution for our customers and advisors within each interaction. This experience will apply to all TAL product lines (Retail, Direct and Investments) and as you put yourself in the customer’s shoes, you will be the smiling face of TAL.

The Customer Experience Specialist is pivotal in focusing on first call resolution for our customers and advisors within each interaction. This experience will apply to all TAL product lines (Retail, Direct and Investments) and as you put yourself in the customer’s shoes, you will be the smiling face of TAL.

Key responsibilities include:  

• Servicing inbound calls for new and existing TAL & Asteron products within a timely manner.
• Educating our clients on the importance of their Life Insurance policies or investment products.
• Proactively manage relationships whilst monitoring service delivery and quality.
• Support team mates to collectively achieve desired customer outcomes.
• Respond to escalations and complaints - take responsibility to obtain a quick resolution. 

The Lead Technical Specialist is responsible for leading the Technical Specialists team in providing technical advice, guidance and support to the Claims team on technical assessment and case management matters, to assist in reaching desired claims durations and outcomes in line with the terms and conditions of the policy. A key focus of the role is to optimise assessment quality within the Income Protection, Life, Trauma and TPD portfolios and support Claims Consultants to build their capability in line with the TAL claims capability and delegated authority frameworks. This includes development of processes, tools, guidelines or other resource to support assessment of the claims.