Claim Assessor

MetLife, Inc.; Brighton; Hybrid; GBP 30,000 - 40,000; Full time

Job summary

A leading insurance provider is seeking an Individual Protection Claims Assessor for a 12-month fixed-term contract, primarily based in Brighton. Responsibilities include assessing fast track claims, managing relationships with customers and stakeholders, and ensuring compliance with quality standards. Ideal candidates will have administration experience in claims or similar fields, possess excellent communication skills, and be competent in handling sensitive information. The role offers flexible work arrangements and a range of benefits including comprehensive insurance and pension contributions.

Benefits

9% employer pension contributions

Comprehensive private medical insurance

Income protection insurance

Life insurance

£20 benefits allowance per month

Qualifications

• Experience in claims assessment or legal departments is required.
• Competent in dealing with detailed medical records.
• Polite and professional communication skills are essential.

Responsibilities

• Responsible for fast track claims assessment and communication.
• Assess non-fast track claims as needed.
• Handle incoming claims-related telephone calls professionally.

Skills

Administration experience in claims/legal/fraud

Good telephone manner

Ability to communicate with third parties

Job description

The Team You Will Join

You will be joining the Individual Protection Team, who are in the Brighton office on a Tuesday and Wednesday, with the other three days working from home. The team is a vibrant and supportive team who prides itself on working collaboratively with each other and our Stakeholders, such as the Customer Service, Sales and Complaints teams. The team has a wealth of knowledge and years of experience with our products and Claims assessment with majority of the team being Senior Claims Assessors. Our focus is to give the customer the best Claims experience, through innovative improvements, delivering on the promise and providing excellent service.

Requirements

The Opportunity for a 12 month FTC Individual Protection Claims Assessor will contribute to the proactive management of claims administered by MetLife, providing reassurance to customers through service excellence and accuracy of work. This is an exciting opportunity for Claims Assessors to develop and maintain strong relationships with internal and external customers.

How You’ll Help Us Build a Confident Future (Key Responsibilities)

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 timeframes.
• 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, analyse and be decisive.

Other claim assessment

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As required by the Claims Managers there will be an expectation to assess non-fast track claims within a set remit.

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

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, analyse and be decisive.

This will require telephone conversations with customers about claim decisions, some of which will be giving decisions about negative claim outcomes for the customer.

Med Fee Authorisation

• Responsible for checking med fee payments raised by the Claims Administrators, to ensure timely and accurate payment of all med fees.
• In accordance with MetLife UK Governance you will also carry out quality checking and sampling of these with results recorded.

Telephone Call Handling

• Receiving and handling all incoming telephone calls efficiently and professionally with regards to claims.
• Responsible for complying with caller Data Protection checks.
• All calls to be handled in line with the MetLife UK Operations framework, for technical accuracy and telephone manner.
• Records of all calls to be maintained on the relevant systems.

What You Need To Succeed (Required Qualifications)

• Administration experience gained in any of the following departments: claims/legal/fraud.
• Will be exposed to detailed written or visual medical records, which may include detailed police reports.
• Competent and professional demeanour, able to deal in the correct manner with internal & external customers as well as third parties such as GP’s, hospitals and Police.
• Good, polite telephone manner and letter writing required.
• Able and happy to work from our Brighton HQ two days a week, after the initial period of training and integration in the team which will require presence in the office every day (5days). This should last about a month.
• Will be able to commit to a 12 month fixed term contract.

What Can Give You An Edge (Additional Skills)

• A medical or claims background that would allow for dealing with the more technical type of claim such as child cancer, loss of use, amputation & accidental death; experience would be advantageous but not essential as training will be provided.
• Previous experience with an autonomy limit in the payment of claims would be ideal however not necessary as we do have training procedures in place for the correct candidate to gain autonomies.

Benefits We Offer

MetLife UK offers a range of benefits to deliver value to our employees and their families, supporting their health, wellbeing and financial security. Our flexible benefits offering provides freedom, choice, and flexibility in the way that you receive your benefits to better suit your lifestyle, meet some of your practical needs, and provide advantages in terms of tax and National Insurance savings. Our core benefits include 9% employer pension contributions with up to 4% matching available, comprehensive private medical insurance, income protection insurance, and life insurance. We offer a host of additional benefits that you can choose to buy including critical illness/dental/travel/gadget insurance, annual leave buy/sell, partner life insurance and more. All employees receive a £20 benefits allowance per month to spend on any additional benefits they select.

About MetLife

Recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune World’s 25 Best Workplaces™, MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible .Join us!