Περιγραφή εργασίας

The Team You Will Join

On MetLife’s Global Customer Service and Operations (GCSO) team, customer care is built on trust, empathy, and a commitment to continuous improvement. Whether guiding customers through life’s important moments, solving challenges, or simplifying processes with innovative technology, you’ll help deliver a differentiated experience grounded in operational excellence. Backed by a collaborative team, you’ll play a vital role in strengthening the way we care and advocate for millions worldwide. Here, making a real difference isn’t just a goal - it’s what we do, one conversation at a time.

The Opportunity

The Claims Examiner implements the Company’s established standards and procedures in examining and resolving medical claims whilst maintaining high-quality customer service and ensuring legal compliance.


The claims team consists of 5 team players, with strong communication and collaboration. Shared goals and objectives are focused on team colleagues supporting each other and giving their maximum effort to achieve a common goal and achieve the workflow effectively and efficiently.

Key Responsibilities

• Process and review Individual and Group claim cases as per the written terms and conditions of the policies, in a timely and accurate manner
• Determine the validity of the claim and communicate with internal departments to review the terms of the Policy;
• Ensure completeness and accuracy of claim documentation and contact claimants directly to request any missing information or verification;
• Liaise with medical and state institutions in order to collect additional information and/or evidence; 
• Contact medical advisors for expert claim evaluation where necessary;
• Maintain the claim database and ensure required documentation is accurately collected and properly filed;
• Maintain appropriate written records from treating physicians, legal advisors and other experts regarding the claims;  
• Inform supervisor of any suspicions for fraud or misrepresentation of facts;  
• Perform final claim assessment and settle the claims with payment or rejection;
• Authorize claim payments; 
• Follow communication guidelines for informing claimant of decisions; 
• Set and adjust the claim reserves;
• Prepare and submit reports related to claims;
• Effectively handle customer inquiries, with the aim of achieving the highest standards of customer satisfaction;
• Ensure all claims information remains confidential;
• Identify areas of improvement and make appropriate suggestions;
• Ability to use approved AI tools to support routine tasks such as drafting, summarizing, organizing information, and improving day-to-day efficiency.

Required Qualifications

• University educated to degree level, in the health sector or other relevant area e.g. insurance    
• A minimum of 2 years of experience in a similar position, undertaking Health Claims assessing/examining/relevant Health Medical experience,
• Broad knowledge of medical terminology;
• Excellent knowledge of MS Office (Excel, World and Outlook);
• Fluent communicator in Greek and English, both written and spoken;
• Proven ability to plan and prioritize work, manage time and respond efficiently to changing circumstances;
• Team player with effective communication and interpersonal skills;
• Attention to detail and high-level of accuracy;
• Customer-orientation;
• Analytical thinking and problem-solving ability; 
• Resilient personality with the ability to promptly address multiple requests;
• Working knowledge of AI capabilities with the ability to evaluate and validate outputs with guidance;
  
   

Preferred Qualifications

• Medical/Life Claims assessing/examining

The expected salary range for this position is €22,100 - €25,000 per annum. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms. 

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