Job Details

ID #53478584
Estado New Hampshire
Ciudad Sydney
Tipo de trabajo Full-time
Fuente TAL
Showed 2025-02-18
Fecha 2025-02-18
Fecha tope 2025-04-19
Categoría Etcétera
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Claims - Technical Specialist (Permanent & Fixed Term)

New Hampshire, Sydney
Aplica ya

We’re a continually growing team, one that is dynamic in thinking and solutions oriented with people.  Our environment is agile, and we focus on delivering with care and passion for our customers.The Claims Technical Specialist is responsible for 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 Managers to build their capability in line with the TAL claims capability and delegated authority frameworks.Ensure claims handling and service approach reflects industry best practice and TAL processes and policies.Act as a subject matter expert, responding to Claims Consultant requests and enquiries and to authorise and review claims Provide adverse decision review and sign off on assessment, which may require referral to internal Claims review bodySupport Claims Consultants to use effective communication with customers, treating health practitioners and other stakeholders Drive the best service experience and appropriate claim outcomes for the customerSupport Client Managers and Team Managers in their reporting to funds and attendance at fund meetings/case conferences  Development/ enhancement of claims handling procedures and guidelines as required. Assist with embedmentDrive processes to support development of technical capability within claims and implement strategiesCoach Claims Consultants in appropriately executing assessment practices ensuring timely and quality management of claimsProvide insights into Case Manager technical capabilities for the purpose of performance managementSupport the Team Manager in development planning for individuals to uplift their capability in line with TAL’s capability frameworkContribute to the implementation of appropriate governance structures and quality assurance to successfully deliver business solutions.

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