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Head of Claims CZ and SK
MetLife Europe d.a.c., pobočka poisťovne z iného členského štátu
Place of work
Pribinova 10, 811 09 Ružinov
Pribinova 10, 811 09 Ružinov
Contract type
full-time
full-time
Start date
ASAP
ASAP
Wage (gross)
From 3 300 EUR/month
From 3 300 EUR/month
Information about the position
Job description, responsibilities and duties
• Overall management of claims department in Slovak and Czech Operations in line with MetLife standards, policies and procedures as well as regulatory requirements
• Develop customer service procedures, policies and standards for the claims department. Ensure that claims discipline is maintained, and claims decisions are consistent, equitable and prudent as per the MetLife standards and practices
• Refer risks above local claims authority to the EMEA Head of Claims and/or Reinsurers with preliminary claims assessment and recommendation
• Ensure that an efficient, effective, professional and courteous service is provided to intermediaries, policyholder and all other customers
• Periodically audit processes for all product lines and propose recommendations for changes, if any
• Recruit, train, manage and develop staff as are required to carry out the functions within area of responsibility
• Identify and develop talents, assure succession planning to maintain business continuity
• Monitoring and reporting of claims performance indicators. Defining and implementation of corrective action in case of negative deviations
• Closely monitor capacity planning, review production objectives, anticipated peak production periods and effect plans to meet regular workflow demands and contingencies. Authorization of over limits claims payments, authorization via DoA
• Demonstrate strong relationship management skills with key stakeholders and customers
• Collaborate with other departments in order to safeguard proper in force policies handling (all OPS functions / Financial department / Product / Actuaries / Legal / Compliance / Sales & Distribution)
• Support distribution networks and provide automations and simplifications on claims processes in order to provide high quality of customer service
• Ensure and monitor compliance of taken risks and reinsurance limits and terms laid down by the Reinsurance Policy
• Ensure (by training and periodically auditing cases) that KYC requirements and procedures are followed as well as the AML policy of the company
• Participate in major interdepartmental projects concerning the digitization strategy; new products development and policies wording (as leader or stakeholder)
• Claims complaints handling
• Cooperation with external parties (incl. vendors). Whatever items as deemed by reporting line
• Collaborate with external or internal partners (doctors, hospitals, medical centers and clinics) in order to control risk and provide customer service of high quality
• Attending educational sessions in the event of new laws or changing business directives
• Develop customer service procedures, policies and standards for the claims department. Ensure that claims discipline is maintained, and claims decisions are consistent, equitable and prudent as per the MetLife standards and practices
• Refer risks above local claims authority to the EMEA Head of Claims and/or Reinsurers with preliminary claims assessment and recommendation
• Ensure that an efficient, effective, professional and courteous service is provided to intermediaries, policyholder and all other customers
• Periodically audit processes for all product lines and propose recommendations for changes, if any
• Recruit, train, manage and develop staff as are required to carry out the functions within area of responsibility
• Identify and develop talents, assure succession planning to maintain business continuity
• Monitoring and reporting of claims performance indicators. Defining and implementation of corrective action in case of negative deviations
• Closely monitor capacity planning, review production objectives, anticipated peak production periods and effect plans to meet regular workflow demands and contingencies. Authorization of over limits claims payments, authorization via DoA
• Demonstrate strong relationship management skills with key stakeholders and customers
• Collaborate with other departments in order to safeguard proper in force policies handling (all OPS functions / Financial department / Product / Actuaries / Legal / Compliance / Sales & Distribution)
• Support distribution networks and provide automations and simplifications on claims processes in order to provide high quality of customer service
• Ensure and monitor compliance of taken risks and reinsurance limits and terms laid down by the Reinsurance Policy
• Ensure (by training and periodically auditing cases) that KYC requirements and procedures are followed as well as the AML policy of the company
• Participate in major interdepartmental projects concerning the digitization strategy; new products development and policies wording (as leader or stakeholder)
• Claims complaints handling
• Cooperation with external parties (incl. vendors). Whatever items as deemed by reporting line
• Collaborate with external or internal partners (doctors, hospitals, medical centers and clinics) in order to control risk and provide customer service of high quality
• Attending educational sessions in the event of new laws or changing business directives
Employee perks, benefits
- pleasant team and work in the center of Bratislava
- performance bonus
- number of company benefits, such as meal vouchers (4,50 eur), 5 weeks of vacation, 3 sick days, group life insurance, pension plan savings program, English courses, other learning opportunities etc.
- contract for an indefinite period with full-time start immediately
- possibility to work from home
- performance bonus
- number of company benefits, such as meal vouchers (4,50 eur), 5 weeks of vacation, 3 sick days, group life insurance, pension plan savings program, English courses, other learning opportunities etc.
- contract for an indefinite period with full-time start immediately
- possibility to work from home
Requirements for the employee
Candidates with education suit the position
University education (Master's degree)
Language skills
English - Advanced (C1)
Other knowledge
Microsoft Office - Advanced
Experience in the position/sector
5-6 years in the same position or similar position in another company
Personality requirements and skills
- University degree
- Fluent English (written and spoken) and advanced PC user
- 5-6 years in the same position or similar position in another company
- Knowledge of company’s operating procedures
- Ability to analyze, interpret, organize, document and control both digital and physical data
- Ability to operate the insurance contract, analyze and interpret the policy conditions and functions
- Very good knowledge of the company’s products TN and T&C (coverage, procedures for product’s using)
- Good knowledge of reinsurance treaty conditions and limits
- Very good knowledge of country’s regulations related to insurance
- Responsibility, management and leadership skills, good presentations skills, ability to manage projects, negotiation skills, ability to lead and motivate a group of people, effective decision making with good analytical skills
- Fluent English (written and spoken) and advanced PC user
- 5-6 years in the same position or similar position in another company
- Knowledge of company’s operating procedures
- Ability to analyze, interpret, organize, document and control both digital and physical data
- Ability to operate the insurance contract, analyze and interpret the policy conditions and functions
- Very good knowledge of the company’s products TN and T&C (coverage, procedures for product’s using)
- Good knowledge of reinsurance treaty conditions and limits
- Very good knowledge of country’s regulations related to insurance
- Responsibility, management and leadership skills, good presentations skills, ability to manage projects, negotiation skills, ability to lead and motivate a group of people, effective decision making with good analytical skills
Advertiser
Brief description of the company
Poisťovňa MetLife, úspešne pôsobí na slovenskom poistnom trhu už od roku 1995. Poisťovňa ponúka široké spektrum produktov životného a úrazového poistenia a tradične sa prezentuje stabilnými hospodárskymi výsledkami. MetLife Inc. je globálnym lídrom v poskytovaní poistenia, dôchodkového zabezpečenia a poistných produktov pre zamestnancov. Svoje služby poskytuje 90 miliónom klientov vo viac ako 60 krajinách sveta a má vedúce postavenie v Japonsku, Latinskej Amerike, Ázii, Európe a na Strednom východe.
V MetLife podporujeme rovnaké príležitosti so zámerom prilákať, udržať a maximalizovať výkon rozmanitej a inkluzívnej pracovnej sily. Politikou spoločnosti MetLife je zabezpečiť rovnaké pracovné príležitosti bez diskriminácie alebo obťažovania na základe rasy, farby pleti, náboženstva, pohlavia (vrátane tehotenstva alebo s ním súvisiacich zdravotných problémov), sexuálnej orientácie, rodovej identity alebo prejavu, veku, zdravotného postihnutia, národnosti, manželského alebo civilného partnerstva, genetických informácii, občianstva alebo akejkoľvek inej charakteristiky podľa práva. Snažíme sa hľadať tých najlepších kandidátov na všetky pozície a rozmanitá škála uchádzačov rozšíri rad našich zamestnancov tak, aby sme to dosiahli.
V MetLife podporujeme rovnaké príležitosti so zámerom prilákať, udržať a maximalizovať výkon rozmanitej a inkluzívnej pracovnej sily. Politikou spoločnosti MetLife je zabezpečiť rovnaké pracovné príležitosti bez diskriminácie alebo obťažovania na základe rasy, farby pleti, náboženstva, pohlavia (vrátane tehotenstva alebo s ním súvisiacich zdravotných problémov), sexuálnej orientácie, rodovej identity alebo prejavu, veku, zdravotného postihnutia, národnosti, manželského alebo civilného partnerstva, genetických informácii, občianstva alebo akejkoľvek inej charakteristiky podľa práva. Snažíme sa hľadať tých najlepších kandidátov na všetky pozície a rozmanitá škála uchádzačov rozšíri rad našich zamestnancov tak, aby sme to dosiahli.
Number of employees
150-199 employees
ID: 4016736
Dátum zverejnenia: 5.1.2021
2021-01-05
lokalita: Bratislava Pozícia: Claims Specialist, Department Manager, Insurance Underwriter, Operations Manager, Reviewing Doctor Spoločnosť: MetLife Europe d.a.c., pobočka poisťovne z iného členského štátu
Základná zložka mzdy (brutto): 3 300 EUR/month