Claims Assessor

MetLife; Brighton; On-site; GBP 30,000 - 40,000; Full time

Job summary

Une entreprise de services financiers de premier plan recherche un Claims Assessor pour rejoindre son équipe de gestion des demandes. Dans ce rôle, vous serez responsable de l'évaluation et de la gestion des demandes d'indemnisation, garantissant une excellente communication avec les clients. En mettant l'accent sur l'expérience client, vous collaborerez étroitement avec d'autres équipes pour fournir un service exceptionnel et efficace. Ce poste offre l'opportunité de travailler dans un environnement dynamique au sein d'une entreprise appréciée pour sa culture de collaboration et ses valeurs.

Benefits

Contributions à un régime de retraite

Assurance médicale privée

Protection du revenu

Assurance-vie

Allocation mensuelle de bénéfices

Qualifications

• Expérience dans les départements de réclamations, légaux ou de fraude.
• Capacité à examiner des rapports médicaux et policiers détaillés.
• Démarche professionnelle et bonne maîtrise des communications téléphoniques.

Responsibilities

• Évaluer les demandes d'indemnisation en respectant les standards de qualité.
• Gérer les appels entrants tout en garantissant la conformité de la protection des données.
• Prendre des décisions de responsabilité et communiquer les résultats aux clients.

Skills

Communication

Résilience

Professionnalisme

Job description

You will be joining the Individual Protection Team, a vibrant and supportive group that values collaboration with colleagues and stakeholders such as Customer Service, Sales, and Complaints teams. The team boasts extensive knowledge and experience in product claims assessment, primarily composed of Senior Claims Assessors. Our goal is to provide customers with the best claims experience through innovative improvements, delivering on promises, and offering excellent service.

The Opportunity

The Individual Protection Claims Assessor will contribute to the proactive management of claims, providing reassurance to customers through service excellence and accuracy. This role offers an exciting opportunity for Claims Assessors to develop strong relationships with internal and external customers.

Success in this role requires excellent communication and interpersonal skills. The Claims Assessor is responsible for claims assessment, telephone call handling, and related duties. You will collaborate closely with Customer Service, Sales, and Complaints teams in an environment where every contribution is valued and every perspective heard.

Key Responsibilities

Fast Track Claims Assessment:

• Responsible for claim assessment, decision-making, and customer communication within set controls on fast-track claims.
• Ensure work meets quality standards within agreed timeframes.
• Identify and triage claims not meeting fast track criteria appropriately.
• Make liability decisions within controls, reviewing information, analyzing, and being decisive.

Other Claim Assessment:

• Assess non-fast track claims as directed by Claims Managers.
• Maintain quality and timeliness in work completion.
• Make liability decisions, including handling telephone conversations with customers about claim outcomes, including negative decisions.

Med Fee Authorization:

• Check med fee payments for accuracy and timeliness.
• Conduct quality checks and record results in accordance with governance standards.

Telephone Call Handling:

• Handle incoming calls professionally and efficiently, ensuring data protection compliance.
• Maintain records of calls on relevant systems.

Requirements

• Experience in claims, legal, or fraud departments dealing with claims involving hospitalization, injuries, or funeral benefits.
• Ability to review detailed medical and police reports with resilience and sensitivity.
• Professional demeanor, good communication skills, and polite telephone manner.
• Willingness to work from Brighton HQ one day a month after initial training, with a full-time presence required during the first month.

Preferred Skills

• Background in medical or claims areas dealing with complex claims like child cancer, loss of use, amputation, or accidental death; training provided.
• Experience with claims payment autonomy is advantageous but not essential.

Benefits

MetLife UK offers a range of benefits supporting health, wellbeing, and financial security, including pension contributions, private medical insurance, income protection, life insurance, and a monthly benefits allowance. Additional optional benefits are available for purchase.

About MetLife

Recognized on Fortune magazine's list of 2025 "World's Most Admired Companies" and as one of Fortune’s 25 Best Workplaces for 2024, MetLife is a leading global financial services company operating in over 40 markets. Our purpose is to help create a more confident future for our colleagues, customers, and communities. Join us in making #AllTogetherPossible.