Claims Technical Specialist
Core
Provide expert technical guidance, oversight, and decision-making for complex, sensitive, and adverse Group Life Insurance claims, including TPD and Income Protection.
Role type
Senior IC claims technical specialist (Group Life Insurance)
Builds
High-quality, consistent claim outcomes and technical capability across the broader claims function
Domain
Insurance (Life Insurance, Group Claims)
Required skills
Group Life Insurance claims expertise, TPD and Income Protection knowledge, policy interpretation, legislative and regulatory compliance, complex claims management, coaching and mentoring, technical strategy guidance, quality assurance and governance, process improvement
Preferred skills
Stakeholder management with external partners (rehabilitation providers, medical professionals, superannuation funds), ability to constructively challenge and influence strategy, identifying technical capability gaps
Technologies
None stated
Responsibilities
Provide expert technical advice and direction on complex claims; Review, endorse, and authorise claim decisions within delegated authority; Coach and mentor Claims Consultants; Facilitate case conferences and technical forums; Support quality assurance, audit, and risk activities; Identify opportunities to improve claims processes and ways of working
Seniority
Senior, hands-on IC with mentorship responsibilities