Insurance Claim Specialist
About the Role
We are seeking a highly skilled and experienced insurance claim specialist to join our team. As a key member of our claims management unit, you will be responsible for managing a portfolio of complex life insurance claims.
Key Responsibilities
* Claims Management: Proactively assess and manage claims end-to-end, develop and implement case management strategies to drive sustainable outcomes and consumer expectations in line with policy definitions, philosophies, and risk management meeting SLAs and other core claims metrics.
* Customer Experience: Communicate professionally with customers through critical life moments, ensuring empathy and professionalism are at the forefront of every interaction.
* Risk Management: Drives and adheres to all claims-related regulatory and compliance requirements, such as LICOP timeframes and MetLife SLA decision timeframes.
* Collaboration: Work collaboratively with stakeholders to establish and maintain relationships and drive an inclusive workplace culture.
Qualifications and Experience
* Experience managing life insurance claims, ideally with 3+ years' experience within a Group Insurance environment.
* Currently holds a DA across all Group product lines and can prove current DA held.
* Sound understanding of relevant legislation, policy definitions, and the claims assessment process.
* Proven ability to interpret complex information and make evidence-based, defensible decisions.
Requirements for Success
* End-to-end management of life insurance claims, ensuring assessments align with policy terms and claims philosophy.
* Quality decisions supported by sound analysis of medical, vocational, and financial information.
* Strong adherence to service level agreements (SLAs), quality standards, and customer satisfaction (CSAT) measures.
What We Offer
We offer a competitive salary, comprehensive benefits package, and opportunities for career growth and development.
In addition, we provide a supportive work environment, collaborative team dynamic, and recognition for outstanding performance.
We are committed to fostering a diverse and inclusive workplace culture that values and respects individual differences.