MetLife

Valuable team member, the new Insurance Claims Specialist is responsible for gathering and processing the information required to complete the insurance claims process. Typical duties include determining covered insurance losses, documenting medical claims actions and resolving claims through approval or denial of claims request. The position will report directly to the Claims Manager.

Key responsibilities:

• Determines covered insurance losses by studying provisions of a policy;
• Establishes proof of loss by studying documentation and assembling additional information from outside sources;
• Documents specific claims by completing and recording forms, reports, logs and records;
• Analyzes insurance claims to prevent fraud;
• Prepares reports by collecting, analysing and summarizing information;
• Resolves claims by approving or denying documentation, calculating benefits due and determining compensation settlement;
• Provides competitive market information;
• Simplifies the current processes and increases efficiency;
• Ensures legal compliance by following company policies, procedures and guidelines, as well as state insurance regulations;
• Maintains quality customer service by following customer services practices and responding to customer inquiries;
• Protects operations by keeping claims information confidential;
• Maintains a good relationship with insurance departments.

Essential Technical Skills:

• Educated to Degree level or equivalent (Preferably - Medicine);
• Knowledge of insurance related policies or legislation;
• A minimum of 3 years in a similar position in insurance industry would be a great plus;
• Good English knowledge;
• Digital mindset;
• Strong computer skills in all MS packages and open to work with new applications.

Essential Soft Skills:

• Very good communication skills;
• Very good time management and stress management of tight deadlines;
• Attention to details;
• Ability to make good and fast decisions in a fast-paced environment;
• Excellent conflict resolution skills;
• Client orientation.

We value your work, by offering:

• Friendly environment with multiple career development opportunities;
• Inclusive and multicultural team where you can create impact with your innovative ideas and creative personality;
• Various learning & development programs adapted to your needs and goals;
• Benefits (flexible hours, meal tickets, private medical subscription, insurance policy, Bookster subscription, additional holidays based on seniority, annual performance bonus);
• Excellent location – close to public transport stations (bus & subway) & remote working capabilities.

At Metropolitan Life, part of MetLife, Inc, one of the largest life insurance companies in the world, we’re leading the global transformation of an industry we’ve long defined. Named a Certified Great Place to Work, we are united in purpose, diverse in perspective, and dedicated to making a difference in the lives of our customers.

Great Place To Work® Certified in Romania

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