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Claims Assessor

Date Posted: Jul 17, 2021

Location: Brighton, GB Brighton, GB Brighton, GB

Company: MetLife

Claims Assessor – Group Income Protection

Work from home / remote working; close enough though to travel to the Brighton Office once a month and/or for events

Alternatively 2 days in the Brighton office, 3 days remote working 

 

 

My new colleague, who started at MetLife as a Claims Assessors said (of their first 12 weeks):
"……Gets involved and has great exposure to others. Tight knit team. Flexible and fluid. Nice place to work. Relaxed, 10x more relaxed then last place of work. Enjoys working, no heavy atmosphere. Fun". Don’t take my word for it, take theirs.

 

 

Why apply?

 

Our Group Income Protection claims assessors work on a wide array of Group Income Protection claims. We want to develop and progress you so that you are assessing both Group Income Protection and Group Life claims. We will give you progression and development opportunities from day one. We will provide you with a highly desirable benefits package and compensation bundle, including a market leading annual bonus. Strength through diversity and inclusion means you’ll get great satisfaction from our culture; we are equality focused and have a supportive structure. All we ask is that you are a suitably experienced Group Income Protection Claims Handler, Claims Assessor or Claims Specialist (sometimes known as Claims Management Specialist). In return of a great salary, bonus and working culture we would like you 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.

 

Remote working is offered. You do still need to be close enough to travel to Brighton for events.

 

Claims Executive Key Responsibilities:

  • As a Claims Assessor you will be responsible for the timely and accurate assessment, decision making, settlement and communication of Employee Benefits Claims from beginning to end. These claims will be from our Group income protection and life insurance products.
  • As a Claims Assessor you will act independently within agreed authority and service levels. Decision making authority is an essential requirement.
  • As a Claims Assessor you will provide exceptional levels of customers service to policyholders, clients and intermediaries in a professional and friendly manner.
  • As a Claims Assessor you will manage the claims relationship for all customers within an agreed portfolio.
  • As a Claims Handler you will ensure all aspects of the claims function, including complaints are dealt with in accordance with all compliance, CBI, FCA, TCF and legal requirements.
  • As a Claims Handler you will identifying and investigating potential non-disclosure claims.
  • Identify and investigate potential fraudulent claims.
  • Identify process issues and propose solutions for improvement within agreed business framework.
  • 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.
  • Provides claim sign off for colleagues.
  • Manage claim appeals within agreed process and authority level.

 

Claims Specialist Essential Business Experience Required

  • Experience and exposure in handling relevant claims, specifically Group Income Protection and ideally Life claims (experience can be solely from a Direct Insurer or from a combination of Direct Insurer and Reinsurer).
  • You will be able to demonstrate technical ability with claims assessment and decision making.
  • Knowledge of Medical or Scheme Underwriting would be beneficial.
  • Claims decision making authority is an essential requirement, either from previous experience or awarded by MetLife.

 

Claims Specialist Essential Business Skills Required

  • Confidence in communicating the claim decision via the telephone and in writing.
  • Articulation and eye for detail; to be capable (with existing experience or after training) of quality checking and giving feedback on the work of others.
  • A fondness for learning; you should have a willingness to study towards professional qualifications which MetLife will sponsor.

MetLife is proud to be an equal opportunity employer.  We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce.  It is the policy of MetLife to ensure equal employment opportunity without discrimination on any basis protected by law.

For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.

Requisition #: 118205 

We welcome applications from candidates of all backgrounds, ethnicities, genders, religions and sexual orientations. 

We strive to find the best candidate for all positions and a diverse range of applicants ensures we widen our talent pool in order to achieve this. 

Those with disabilities and neurodiverse conditions, please do let us know about your reasonable adjustments to ensure that we can best meet your needs.

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