Claims Technical Specialist

JobsCloseBy Editorial Insights

TAL is hiring a Claims Technical Specialist in Melbourne for a full-time onsite role. You’ll act as the technical SME for Claims Consultants across Income Protection, Life and TPD, elevating assessment quality, guiding decision making and ensuring claims align with policy terms, authorities and TAL frameworks. You’ll build technical capability, coach case managers, support governance. Essential: proven group life claims experience in a technical specialist or senior role, ability to coach, strong knowledge of life insurance legislation and claims frameworks, and stakeholder management. To apply, tailor your CV with concrete examples of complex claim decisions and coaching outcomes, highlight collaboration with diverse teams, and demonstrate commitment to TAL values; TAL employees should apply via the SmartRecruiters button in Workday.

Company Description

Why join us? 

Welcome to TAL. As a leading life insurer, we’ve been protecting Australians for over 150 years. Backed by Daiichi Life, we're driven by big ambitions and empower to create better products and services. 

Together with our Partners, we’re helping millions of Australians live a life filled with choices, options, and freedoms. See the direct impact you make delivering support and financial security with care and expertise. Grow beyond expectations with diverse roles, global connections, and exclusive learning opportunities. 

Work with passionate, bright and capable colleagues. Feel inspired by supportive leaders. Collaborate with heart, where flexibility, wellbeing and inclusivity is valued. Together, we're reimagining insurance. 

So, bring a curious mind and an ambition to help us become the progressive, digitally enabled leading insurer. 

Job Description

The Opportunity: 

As a Claims Technical Specialist, you’ll provide expert technical guidance to Claims Consultants across Income Protection, Life, and TPD. Your focus will be improving assessment quality, supporting sound decision-making, and ensuring claims are managed in line with policy terms, delegated authorities, and TAL frameworks. 

You’ll play a key role in building technical capability across the team, driving consistent outcomes and best-practice claims management. 

In this role you will:  

• Ensure claims are managed in line with TAL policies and industry best practice 
• Act as the technical SME, reviewing and authorising complex and adverse claim decisions 
• Coach Claims Consultants to improve assessment quality, communication and outcomes 
• Support managers with fund reporting, case conferences and stakeholder engagement 
• Contribute to claims procedures, governance and quality assurance 
• Provide insights to support capability development and performance management 

Qualifications

Qualifications: 

• ESSENTIAL: Experience in Group life insurance claims in a technical specialist or senior claim’s role 
• Proven ability to coach and uplift case manager capability 
• Strong knowledge of life insurance legislation and claims frameworks 
• Ability to identify issues and drive effective claims solutions 
• Strong communication, influencing and stakeholder management skills 
• Customer-focused approach with sound judgement 
• Relevant qualifications or insurance certification (desirable) 

Additional Information

TAL is one of Australia’s leading life insurers, committed to inclusion, and supporting the career growth of our diverse workforce. We’re proud to be:  

• 10% annual short term incentive (bonus)
• An Inclusive Employer – Recognised as Employer of Choice for Gender Equality by the Workplace Gender Equality Agency and Bronze Tier Status within the Australian Workplace Equality Index  
• Diversity Champions – Member of Diversity Council Australia, Australian Disability Network, Pride in Diversity and Champions of Change  
• Reconciliation Advocates – Read our Innovate Reconciliation Action Plan. 
• We welcome applications from people with diverse experiences, perspectives and backgrounds including Aboriginal and Torres Strait Islander people, caregivers, individuals living with disabilities, people from culturally diverse backgrounds and the LGBTIQ+ community.  
• Need adjustments during the recruitment process? Let our team know by getting in touch with us here.—we’re here to support you. 

Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct when you come to work every day. Risk management is everyone’s responsibility.

If you are already a TAL employee please apply via the SmartRecruiters button in Workday and navigate to the Employee Portal. This is important to ensure that your application is recorded accurately.