Claims Technical Specialist
Core
Provide expert technical guidance to Claims Consultants on Income Protection, Life, and TPD claims to improve assessment quality and ensure compliance with policy terms.
Role type
Claims Technical Specialist (Life Insurance)
Builds
Consistent outcomes and best-practice claims management across the team
Domain
Life insurance / Claims adjudication
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Group life insurance claims expertise, coaching case managers, life insurance legislation knowledge, claims framework knowledge, issue identification, solution driving, stakeholder engagement
Preferred skills
Insurance certification
Responsibilities
Review and authorise complex and adverse claim decisions, coach Claims Consultants to improve assessment quality, support managers with fund reporting and case conferences, contribute to claims procedures and quality assurance, provide insights for capability development
Seniority
Senior, hands-on IC