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Claims Assessor

Date Posted: Mar 9, 2018

Location: Brighton, BNH, GB, 0

Company: MetLife



                                                                                                    Job Description



About MetLife:  


“At MetLife, we’re leading the global transformation of an industry we’ve long defined.  United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.”


MetLife, through its subsidiaries and affiliates, is a global provider of life insurance, annuities, employee benefits and asset management with operations in nearly 50 countries and leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East. With a proven track record of financial strength and delivering on promises since 1868, the company prides itself on helping people plan for their future by protecting what matters most – their families and their achievements.


With 2014 total operating income of ~$70 billion, MetLife is ranked #42 on the Fortune 500 list and #69 on the Forbes Global 2000 list of the world’s largest public companies.  Globally, the company has ~65,000 employees serving approximately 100 million customers, individuals, and businesses, including 90 of the FORTUNE 100.  MetLife is also one of the largest institutional investors in the US with more than $450 billion in managed assets.  FORTUNE Magazine’s World’s Most Admired Company survey recently named MetLife #1 in the Life and Health Insurance industry.  

MetLife is an ambitious company with the scale, scope and talent to lead the transformation of the insurance and employee benefits industry, driving world class standards of performance around the globe.  Launched in 2012 by MetLife Chairman and CEO, Steven Kandarian, the company’s enterprise strategy is based on four cornerstones:  Refocus the U.S. Business, Grow Emerging Markets, Build a Global Employee Benefits Business and Drive Towards Customer Centricity and a Global Brand.  Concrete actions are well underway in each of these strategic focus areas, including moving to a horizontally-integrated global operating model to help drive greater leverage of technology and operations and the more consistent application of functional priorities across global markets.


As One MetLife, the company has defined common values shared across the enterprise: Put Customers First, Be the Best, Make Things Easier, and Succeed Together.   These values guide how employees operate every day and are reflected in the company’s commitment to creating a world-class organization which places a high value on motivational leadership, engaged talent, and customer focus.  For more information on working at MetLife, please visit MetLife Careers.



Job Location:



The role: 


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.


Key Responsibilities:  

  • Responsible for the timely and accurate assessment, decision making, settlement and communication of Employee Benefits and Individual Protection claims from beginning to end within agreed authority and service levels. These claims will be from our accident, life, income protection, and critical illness insurance products.
  • Providing exceptional levels of customers service to policyholders, clients and intermediaries in a professional and friendly manner.
  • Managing the claims relationship for all customers within agreed portfolio.
  • Ensuring all aspects of the claims function, including complaints are dealt with in accordance with all compliance, FCA, TCF and legal requirements.
  • Identifying and investigating potential non-disclosure claims.
  • Identifying and investigating potential fraudulent claims.
  • Liaising with the Chief Medical Officer, underwriters and external service providers to ensure all appropriate information is obtained to assist in the assessment and ongoing management of claims.
  • Maintaining a good working relationship with Reinsurers in order to maximise recovery from reinsurance contracts.
  • Participation on claims project and change work as and when required.


Skills & Experience

  • Experience in handling Employee Benefits claims to include: Income Protection, Critical Illness, Accident & Health or Life.
  • Experience can be solely from a Direct Insurer or from a combination of Direct Insurer and Reinsurer.
  • Confidence in communicating claim decisions via the telephone and in writing.
  • Technical ability with claim assessment and decision making.
  • Knowledge of Medical or Scheme Underwriting would be beneficial.
  • Experience quality checking and decision approval on the work of others.



MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, martial or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law. MetLife maintains a drug-free workplace.