Claim Governance Consultant

Description and Requirements
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
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
Benefits We Offer
Our benefits are designed to care for your holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer health care coverage for you and your family, insurance discounts for home, car, and pet protection, as well as parental leave. We also provide premium gym membership for you and your direct relatives, volunteer time off, discounts with specific universities, flexible Fridays, connectivity reimbursement, and much more!
About MetLife
Recognized on Fortune magazine's list of the 2024 "World's Most Admired Companies", 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 empathy, we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
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