Medical Insurance jobs
Insurance Medical Officer
Often replies in 7 daysTALSydney NSW- Insurance services
- Engage effectively with TAL's Chief Medical Officer on complex medical matters and, when necessary, consult with external medical specialists.
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- Queensland GovernmentToowoomba QLD
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- Take care of your wellbeing with EAP access, private health insurance discounts and the Fitness Passport.
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Insurance & Claims Specialist
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Job Post Details
Job details
Job type
- Full-time
Location
Benefits
Pulled from the full job description
- Insurance services
Full job description
- Help protect over 5 million Australians, making a real difference in their lives during their most challenging times.
- Work alongside diverse, passionate colleagues and leaders who inspire, support, and value your contributions.
- Enjoy work-life balance with flexible working options, and well-being initiatives that prioritise your health.
At TAL, we’re supported to live our best lives. With flexible and blended working options, discounted insurance, and wellbeing initiatives, we know we’re valued.
You’ll work alongside some of the brightest and most capable colleagues in the industry, with leaders who inspire, support, and include everyone. We foster a culture where everyone belongs.
Collaborating in person strengthens our social bonds and powers better problem-solving. Together, we face challenges and grow stronger. We connect to include, celebrate, reward, and recognise each other.
Job Description
TAL is currently seeking qualified medical professionals with experience in clinical practice but now looking for a career in the private sector. Does this sound like you?
As a Medical Officer at TAL, you will provide evidence-based reviews of customer medical information during underwriting and at the time of claim. Your role involves supporting and coaching claim staff and underwriters to interpret and obtain relevant, specific medical information for assessing new business applications or claims.
As a subject matter expert with experience reviewing underwriting applications and claims, you will provide medical insights and analysis of information to a wide range of stakeholders across TAL. This includes supporting the review and development of medical definitions, processes, guidelines, training, and contributing to new health-related initiatives across the customer lifecycle.
In this role you will:
- Conduct timely reviews and provide feedback on individual underwriting applications and claims related to medical factors.
- Offer efficient, evidence-based recommendations concerning medical information or the need to seek medical information, considering customer experience, regulatory compliance, and business requirements.
- Support liaison with treating parties and reinsurers on specific cases when required.
- Represent the Medical Team in business-as-usual engagements with assigned business units
- Provide insights and data on health-related factors observed during medical reviews to identify opportunities for continuous improvement
- Engage effectively with TAL's Chief Medical Officer on complex medical matters and, when necessary, consult with external medical specialists.
- Support the review and development of medical definitions, guidelines, and training as needed.
- Analyse medical data to support pricing assumptions when required.
Qualifications
- A medical degree with a minimum of 3 years of experience in clinical practice.
- Strong clinical reasoning skills, especially the ability to make well-reasoned and evidence-based choices in a timely manner.
- Ability to plan and prioritize work to meet commitments aligned with team goals.
- Ability to adapt to changes and operate with agility. Commitment to continuous improvement in operational processes.
- Good communication skills, with the ability to convey a clear understanding of the unique needs of different audiences and strong influencing skills to gain the support and commitment of others.
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:
- 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
You’re always accountable for your actions. You never give up. You strive to find the best outcomes for customers and partners. And you value working together to find the best solutions for problems.
As part of the recruitment process, there are several checks which may be conducted to demonstrate your eligibility for a role at TAL including Criminal History, Bankruptcy, Entitlement to Work, Regulatory and Reference Checks.
#LI-Hybrid
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.