Position Summary

To contribute to the proactive management of claims administered by MetLife, providing reassurance to customers through service excellence and accuracy of work, whilst developing and maintaining strong relationships with internal and external customers.

Job Responsibilities


Fast Track claims assessment:

• Responsible for the claim assessment, decision making and customer communication within agreed controls on fast-track claims.
• Ensure that work is completed to required quality standards within agreed timelines.
• Ensure that claims not meeting fast track criteria are identified and triaged appropriately.
• This role requires the ability to make claim liability decisions within the agreed controls. The role holder is expected to demonstrate the ability to review information, analyze and be decisive.

Other Claims assessment:

• Ensure that work is completed to required quality standards within agreed timelines.
• This role requires the ability to make claim liability decisions within the agreed controls. The role holder is expected to demonstrate the ability to review information, analyze and be decisive.

Med Fee Authorization:

• Responsible for checking med fee payments raised by the Claims Administrators, to ensure timely and accurate payment of all med fees.

Education, Technical Skills & Other Critical Requirement

Education
Bachelors degree (Any Stream) or diploma with a minimum of 15 years of education.

Experience (In Years)

Candidates should have a strong background in Claims management and/or administration with 2-3 years experiences. Demonstrate a strong customer focus, with passion for ensuring the customer receives the right support and solutions

Technical Skills

Excellent written and verbal communication skills (verbal communication limited with UK Ops Team) Confident and decisive when analyzing information and determining outcomes. Excellent customer service skills. Excellent inter-personal skills, with the ability to liaise with people at all levels. Ability to work efficiently with good attention to detail. Accurate and able to demonstrate a high level of organization. Ability to multi-task and prioritize workload. Self-motivated, enthusiastic with a can do attitude. Good team player with the ability to work on own initiative. A good understanding of compliance, legal, CBI and FCA regulations (full MetLife Corporate training will be provided).

Other Critical Requirements Like Voice/ Non-Voice for Insurance Ops

Non-Voice Rule & non-rule-based decision making, domain knowledge, extensive customer communication (Email only)
MetLife:
MetLife, through its subsidiaries and affiliates, is one of the worlds leading financial services companies, providing insurance, annuities, employee benefits and asset management to help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.
We are ranked #44 on the Fortune 500 list for 2019. In 2019, we were named to the Dow Jones Sustainability Index (DJSI) for the fourth year in a row. DJSI is a global index to track the leading sustainability-driven companies.
MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world.
MetLife is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at MetLife without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.