Claims Specialist
Indexed description
The Opportunity
Claims Specialist is responsible for the accurate registration, assessment, and processing of insurance claims, ensuring timely and fair claim decisions and payments while delivering high-quality service to customers and business partners across Ukraine. This role supports MetLife's mission of helping customers navigate life's uncertainties by providing professional claims handling, maintaining compliance with internal procedures, and fostering trust through effective communication with clients, partners, and external institutions.
This is an exciting opportunity to develop expertise in insurance claims management while making a meaningful impact on customers during important life events, working within a global insurance leader that offers continuous learning, career growth, and exposure to international best practices.
Key Responsibilities
- Review, assess, and process insurance claims in accordance with company policies and procedures.
- Verify claim documentation and request additional information when necessary.
- Communicate with customers, healthcare providers, and business partners regarding claim status and requirements.
- Ensure accurate and timely claim decisions while maintaining high service standards.
- Maintain complete and accurate records in claims management systems.
- Contribute to process improvement initiatives and support the achievement of operational performance targets.
- Higher education degree, preferably in Medicine, Healthcare, Insurance, Business Administration, or a related field.
- Previous experience in insurance, claims administration, medical claims review, customer service, or a related area is preferred.
- Experience in handling customer inquiries, reviewing documentation, and coordinating with internal and external stakeholders will be an advantage.
- Motivated candidates without prior claims-handling experience are welcome to apply if they demonstrate strong learning agility and a commitment to professional growth.
- Understanding of insurance principles, claims handling processes, and policy provisions.
- Ability to analyze and evaluate claim documentation with accuracy and attention to detail.
- Strong written and verbal communication skills, including professional correspondence with customers, healthcare providers, and business partners.
- Proficiency in Microsoft Office applications (Excel, Word, Outlook) and experience working with CRM or claims management systems.
- Analytical and problem-solving skills with the ability to make balanced, evidence-based decisions.
- Ability to manage multiple tasks, prioritize workload, and meet deadlines in a fast-paced environment.
- High level of accuracy when working with large volumes of information and documentation.
- High level of responsibility, integrity, and professionalism.
- Customer-focused approach with strong service orientation.
- Strong organizational and time-management skills.
- Ability to work independently as well as collaboratively within a team.
- Adaptability, continuous learning mindset, and willingness to develop expertise in insurance and claims management.
- Ukrainian: Fluent.
- Experience in a customer-facing role within the insurance, healthcare, banking, or financial services industry.
- Pre-Intermediate level of English proficiency
- Professional certifications in insurance, claims management, or healthcare administration would be considered an advantage.
- Demonstrated ability to identify process improvement opportunities and contribute to operational efficiency initiatives.
As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We’re looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value.
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!
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