MetLife

Fast Track claims assessment:

·       Responsible for the claim assessment, decision making and customer communication within agreed controls on fast-track claims.

·       Ensure that work is completed to required quality standards within agreed timelines.

·       Ensure that claims not meeting fast track criteria are identified and triaged appropriately.

·       This role requires the ability to make claim liability decisions within the agreed controls. The role holder is expected to demonstrate the ability to review information, analyze and be decisive.

      Other Claims assessment:

·       Responsible for the timely and accurate assessment, decision making, settlement and communication of complex Individual Protection Claims from beginning to end.

·       Acts independently within agreed authority and service levels. Decision making authority is an essential requirement, expected to hold or be working towards multiple product authority.

·       Ensure that work is completed to the required quality standards within agreed timelines.

·       This role requires the ability to make claim liability decisions within the agreed controls. The role holder is expected to demonstrate the ability to review information, analyze and be decisive.

• Responsible for building trusted partnerships with key customers; either direct or at distributor level.
• Identifying and investigating potential fraudulent claims.
• Ensuring all aspects of the claims function, including complaints are dealt with in accordance with all compliance, CBI, FCA, TCF and legal requirements.
• Participation on claims project and change work as and when required.
• Provides training and claim sign off for colleagues. 

      Med Fee Authorization:

·       Responsible for checking med fee payments raised by the Claims Administrators, to ensure timely and accurate payment of all med fees.