Claims Specialist

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Angajator: Metropolitan Life
  • Asigurari - Intermedieri financiare
  • Banci
  • Contabilitate Finante
  • Tip job: full-time
    Nivel job: 1 - 5 ani experienta
  • Actualizat la: 16.09.2017


    This role covers the following responsibilities:

    • Process claims in a timely manner, including acknowledgements, follow up and payments while assuring the accurate input of claims data, reserves and reinsurance reporting. 
    • Pay or deny claims in an accurate manner according to policy terms and conditions, statutory requirements, and cost containment practices. 
    • Service policyholders, providers and internal and external customers in a timely and professional manner via verbal and written communication or personal contact.  
    • Assist sales channels, management and underwriters in analyzing trends by providing statistics/ reports gathered from claims experience. 
    • Monitor red flags and apply fraud and abuse controls in order to achieve cost containment.
    • Assure compliance with internal claim handling standards, controls and best practices. 
    • Actively support the identification, development and testing of electronic systems to be utilized by Claims.

    From potential candidate we require:

    • Minimum 3 years experience in Claims field (insurance and pensions highly preferred)
    • University diploma (medical education will be considered a plus)
    • Excellent communication and interpersonal skills
    • Proactive and action oriented
    • Strong team-work orientation
    • Analytical mind and good decision maker
    • Stress resilience and capacity to deal with high workload
    • Time management skills and capacity to identify priorities
    • Flexibility and capacity to easily switch between diverse tasks/projects
    • Good knowledge of Microsoft Excel, Word
    • Ability to communicate in English

    We offer:

    • Opportunity to work in a dynamic multinational insurance company where you can have a real impact
    • A ground for the long term career and personal development
    • Great team of energized and positive people
    • Fair salary, flexible working hours, meal tickets, private medical care, transportation costs etc.
    • Great working environment with inspiration room, open and silent space at your disposal