Manager, Claims Quality Assurance

This is a fully remote position, open to applicants in Australia.

📋 Description

• Overseeing a Claims Quality Assurance team and ensuring quality control in claim assessments in accordance with the TAL claims quality framework and risk management principles.

• Foster a culture of risk management and ongoing improvement by delivering risk-based detective controls and insights related to claim assessments.

• Manage Life Claims with an emphasis on customer service, precise policy assessment, cost management, and return-to-health outcomes through best-practice strategies.

• Address complaints and implement enhancements to improve service quality.

• Ensure compliance with TAL policies, legislative requirements, industry standards, and uphold a robust risk culture.

• Offer guidance on liability determinations, strategy approvals, and engage in case conferences for complex claims.

• Distribute daily tasks, track performance, manage resources, and utilize reporting to guarantee service delivery.

• Recruit, mentor, and develop Claims Consultants while promoting TAL’s risk culture and customer service excellence.

⛳️ Requirements

• A minimum of 3-5 years' experience in claims quality assurance within the Life Insurance sector or a related field in the Financial Services/Insurance industry (or similar).

• Proven understanding of life, trauma, Lump Sum (TPD), Disability, and Income Protection claims assessment and management requirements.

• Clear understanding of pertinent regulatory and legal obligations affecting Life Insurance claim assessments.

• Comprehensive knowledge of claims processes, regulations, and compliance, along with the ability to convert knowledge and experience into actionable recommendations that contribute value to the business.

🏝️ Benefits

• Contribute to the protection of over 5 million Australians, making a significant impact during their most challenging times.

• Experience a work-life balance with flexible working arrangements.

• Access well-being initiatives that prioritise your health.

• A 12-month opportunity with the flexibility to work from Melbourne, Sydney, or Brisbane offices.