Requirements
Description and Requirements
To deliver a strong claims governance framework and enhance claims technical capability within MetLife Claims Team as well as supporting claims insights and reporting aligning to MetLife’s strategy.
Principle Responsibilities:
- Primarily undertake claims audits/quality assurance across Retail, Group and Corporate
- Provide coaching and claims technical support to case managers including their Claim Accreditation to attain delegated authority
- 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
- 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 and work
- 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:
- Recent 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
Benefits We Offer
When you join MetLife Australia, you are joining a company that demonstrates holistic care and wellbeing for employees with benefits and programs that address physical, mental, social and financial health. We offer life insurance benefits, generous paid parental leave, market leading menopause and fertility leave, car leasing and more. As well as Employee Assistance Program (EAP), access to 360Health medical support, volunteer leave and study assistance.
About MetLife
Recognised on Fortune magazine's list of the 2024 "World's Most Admired Companies", Fortune World’s 25 Best Workplaces™ for 2024, as well as the Diversity Council of Australia Inclusive Employer Award 2023-2024, 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 p urpose and guided by empathy, we’re inspired to transform the next century in financial services.
At MetLife, it’s #AllTogetherPossible . Join us!
