Claims Case Manager

at; Osterreich; Presencial; PEN 134,000 - 202,000; Jornada completa

Descripción de la vacante

A leading insurance company is seeking experienced Case Managers to manage a portfolio of complex life insurance claims. The role requires a minimum of 3 years in claims management, excellent communication skills, and the ability to work independently in a dynamic environment. You'll be responsible for effective claim assessment and ensuring compliance with relevant policies. This position offers a comprehensive benefits package including life insurance and parental leave.

Servicios

Life insurance

Generous paid parental leave

Access to medical support

Study assistance

Formación

• 3+ years managing life insurance claims within a Group Insurance environment.
• Work independently with minimal supervision with a Delegation of Authority.
• Strong understanding of relevant legislation and claims processes.
• Excellent verbal and written communication skills.

Responsabilidades

• Manage and assess a portfolio of claims end to end.
• Communicate claims decisions to stakeholders effectively.
• Adhere to regulatory requirements and prioritize claims accordingly.
• Identify opportunities for process improvement.

Conocimientos

Claim management

Communication

Empathy

Problem solving

Collaboration

Educación

Tertiary qualifications in relevant field

Descripción del empleo

Overview

We’re looking for experienced and motivated Case Managers to join us at a pivotal time in our digital transformation journey. In this role, you’ll manage a portfolio of complex life insurance claims – primarily across Group but Retail experience is also highly valued. You’ll be empowered to use your technical skills to assess claims in line with policy intent, while supporting customers through critical life moments with empathy and professionalism.

Responsibilities

• Proactively manage and assess a portfolio of claims end to end, developing, recommending and implementing case‑management strategies to drive sustainable outcomes.
• Use our claims platform and tools to support high‑quality, efficient assessments.
• Communicate claims decisions and updates written and verbally, delivering a consistently high standard of service with empathy, clarity and professionalism.
• Adhere to regulatory and compliance requirements (e.g., LICOP timeframes, MetLife SLA decision timeframes) and prioritize claims to meet business needs and partner expectations.
• Collaborate with internal stakeholders (Claimants, Financial Advisers, Distribution) and drive an inclusive workplace culture.
• Manage time effectively, prioritizing work in a changing environment.
• Identify opportunities for process improvement and share ideas with your leader.
• Respond to and manage escalations and complaints relevant to the team’s portfolio.

Qualifications and Experience

• 3+ years managing life insurance claims within a Group Insurance environment (TPD, IP, Death).
• Work independently with minimal supervision and hold a Delegation of Authority across all Group product lines.
• Strong understanding of relevant legislation, policy definitions, and the claims assessment process.
• Evidence‑based decision making with complex information.
• Excellent verbal and written communication, supporting customers with empathy.
• Comfortable with digital systems and open to new technology.
• Collaborative team player who contributes positively to team culture.
• Resilient and adaptable when managing complex cases, competing priorities and change.
• Tertiary qualifications in a relevant field (e.g., allied health, legal, business, insurance) desirable but not essential.

To Be Successful You Will Deliver

• End‑to‑end management of life insurance claims (TPD, IP and Death) ensuring assessments align with policy terms, claims philosophy and risk frameworks.
• Completion of MetLife Claims Accreditation Program to attain DA within 3 months of employment commencement with MetLife.
• Quality decisions supported by sound analysis of medical, vocational and financial information.
• Customer‑first outcomes balancing empathy, compliance and commercial considerations.
• Strong adherence to SLAs, quality standards and CSAT measures.
• Effective written and verbal communication outlining decision rationale and next steps.
• Positive engagement with internal and external stakeholders, including medical providers, trustees and reinsurers.
• Active contribution to a professional, accountable and continuously improving team environment.

Benefits

We offer a comprehensive benefits package including life insurance, generous paid parental leave, market‑leading menopause and fertility leave, car leasing, Employee Assistance Program (EAP), access to 360Health medical support, volunteer leave and study assistance.

About MetLife

MetLife is a global leader in financial services, providing insurance, annuities, employee benefits and asset management to individuals and institutions. With operations in over 40 markets, we are committed to transforming the next century in financial services and creating a more confident future.

Application Questions

• Have you worked in a role which requires a sound understanding of claims management processes?
• Which of the following statements best describes your right to work in Australia?
• How many years’ experience do you have as a Claims Case Manager?