MetLife

What’s in it for you?

You’ll work in a collaborative team, with great focus on professional growth and always there to shape together the best solutions for our business. Working for a Global Insurance business will present you with many cross collaboration opportunities. In your local office you will collaborate with the Contact Center, Complaint Handling, Billing & Remittance, Employee Benefits, Underwriting, Sales, Finance, Legal, Actuaries and IT, Product Development. Providing information and assistance on claims handling issues to both the Executive Board and the Agency, as well as to independent insurance partners and financial institutions. So, lots of dynamics and a lot of people to learn from 😊

Key Responsibilities:

• Claims management tasks;
• Recording of claims received from the mailroom or electronically;
• Checking the completeness of the claim, obtaining missing documents;
• Consultation with the employer's medical experts, supervisors and legal department;
• Liaising and cooperating with other departments of the employer;
• Correspondence with clients, business partners, brokerage partners, authorities, medical institutions;
• Recording claims in computerised registration systems (LIFE, Claims system);
• Calculation, training and recording of contingency reserves, consultation with actuaries;
• Assessing the validity of claims. Deciding on the payment or rejection of claims up to the limit of the amount of the current authorisation. Preparing decisions above the level of eligibility, taking them to the appropriate decision-making level;
• Handling of claims rejection;
• Proposing the payment of claims;
• Management of computerised systems for loss and damage reporting;
• Archiving of claims documentation;
• Participation in the handling of complaints;
• Liaising with brokerage partners under contract with the insurer and, in the case of group contracts, with the HR departments of the contracting companies;
• Monthly tasks:

-Monitoring of pending service claims, correspondence;

-Maintenance of annuity services;

-Maintenance of policies exempt from premiums due to disability or death;

-Monitoring of time-barred claims;

Together with you, we will pay a great attention to risk management:

• Acting against situations that give the company an unfair competitive advantage;
• Participates in avoiding situations where there is a high risk of danger; 
• Actively participates in the development of the retention strategy to minimise the risk of losing key people;
• Reports to the CEO any risk threats or hazards of which he/she is aware or has perceived.

To become our next colleague, you’ll have to bring to the table the following:

• Secondary or higher education – medical qualification is an advantage;
• Similar experience in handling claims is a plus (2-3 years of experience);
• Computer skills;
• Good knowledge of English;
• Ability to manage high volumes and multiple tasks;
• Reliability and precision;
• Ability to manage conflict;
• Very good communication skills.

Metlife is an equal opportunity, affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife’s 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.