Claims Examiner

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. About MetLife Recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune World’s 25 Best Workplaces™, 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.

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!