MetLife

Principle Responsibilities: 

·       Primarily undertake claims audits/quality assurance across MetLife’s different lines of business: Retail, Group and Corporate

·       Providing coaching and mentoring to case managers and support their Claim Accreditation Programme and Onboarding as well as mentor Claims Governance Consultants

·       Review complex claims and/or complaints as the business requires to recommend and implement outcomes aligned to regulatory standards and MetLife’s claims philosophy. 

·       Capability to undertake data reporting and analysis specific to claims

·       Support development and implementation of data initiatives in line with MetLife and Enterprise Transformation priorities, including IDII

·       Adhere to all claim risk management frameworks and requirements e.g. LICOP, Privacy Policies and Financial Services Laws 

·       Keep updated with product and regulatory changes and lead changes to claims procedures and guidelines so they remain relevant

·       Proven ability to lead end to end risk management relevant to claims eg identification, remediation and reporting

·       Recognise and prioritise responsibilities in accordance with business needs and ability to work in an agile environment

·       Work collaboratively with external and internal stakeholders to drive claims governance best practice

Knowledge/Skills/Competencies Required:

·       Work with minimal supervision 

·       Data reporting capability specifically excel 

·       Knowledge of business strategy and claims philosophies, products and regulatory changes

·       Be a committed team player who openly communicates and shares knowledge

·       Excellent time management and ability to prioritise work at all times 

·       Can work under pressure in an evolving environment

·       Ability to adapt to and embrace change

·       Strong stakeholder management experience with product, legal, risk

·       Excellent computing skills and literacy; including excel

·       Excellent communication skills, both written and verbal; example proven ability writing procedures, Board/ risk papers

·       Ability to adapt to change

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Qualifications/Experience Required:

·       Minimum 2 years experience in a Life Insurance complaint, claims risk, product or Quality Assurance role

·       In depth experience across all Life Insurance distribution channels and product lines: Group, Retail and Corporate

·       Strong understanding and experience implementing Governance Frameworks 

·       Understanding key claims data metrics with the ability to analyse, report and drive claim risk insights

·       Skills and experience working on projects and using agile ways of working