Claims Assessor

2 weeks ago

Brighton, United Kingdom MetLife Full time

**Claims Assessor - Group Income Protection**

Work from home (required to attend an office day (Brighton) one day a month

We are a company driven by a solid set of **principles** (see below) and purposes such as **diversity**, **equity**, and **inclusion**. Our working culture provides flexibility and naturally a ‘**hybrid’** working model as standard. We are part of the Women in Finance Charter, an initiative set up by the UK’s HM Treasury. We want to **benefit** from the many positives that come by having a more **diverse** working **culture** throughout all levels of seniority and lines of business. Our workforce enjoys **excellent** benefits, including private healthcare, a **brilliant** pension, and a host of other **benefits** to ensure you and yours are kept safe and protected.

**MetLife Success Principles**
- **Build Tomorrow **- We change and innovate for sustained performance
- **Win Together**:

- We collaborate and empower each other to succeed
- ** Own It** - We deliver for our customers

You’ll be joining a business that is expanding, cares about the community and the environment. You will get a 9% pension as standard, increasing to 13% company max contribution (plus your 4% = a 17% pension). You can also get up to 31 days holiday, hybrid working, life assurance - employee, income protection, private medical insurance, mortgage advice, gadget cover, life assurance - partner, critical illness, travel insurance and dental cover

**Role Value Proposition**:
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. This role will only be suitable to professionals is that are already suitably experienced in Group Income Protection Claims as a Claims Assessor or Claims Specialist (sometimes known as Claims Management Specialist). Our claims assessors 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.

**Claims Executive Key Responsibilities**:

- 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.
- Act independently within agreed authority and service levels. Decision making authority is an essential requirement.
- Provide exceptional levels of customers service to policyholders, clients and intermediaries in a professional and friendly manner.
- Supporting Sales with external client meetings and presenting MetLife’s claim processes and GIP proposition to clients - this may require some travel
- Manage the claims relationship for all customers within an agreed portfolio.
- Ensure all aspects of the claims function, including complaints are dealt with in accordance with all compliance, CBI, FCA, TCF and legal requirements.
- 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.
- 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.
- A fondness for learning; you should have a willingness to study towards professional qualifications which MetLife will sponsor.

To view our MetLife Job Applicants Privacy Notice please click Privacy policy (metlife.co.uk)

AllTogetherPossible #MetLifeProud

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

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