Skip to Main Content

Job Title


Claims Case Manager


Company : MetLife Insurance Limited


Location : Sydney, New South Wales


Created : 2026-03-16


Job Type : Full Time


Job Description

OverviewWe''re looking for experienced and motivated Case Managers to join us at a pivotal time in our digital transformation journey. In this role, you''ll manage a portfolio of complex life insurance claims primarily across Group with Retail experience also highly valued. You''ll be empowered(cin You will use your technical skills to assess claims in line with policy intent, while supporting customers through critical life moments with empathy and professionalism. This is a great opportunity to be part of a team that''s modernising the way we deliver claims, placing customer outcomes, efficiency and integrity at the centre of everything we do.Technical ExpertiseProactively manage and assess a portfolio of claims end to end, develop, recommend and implement case management strategies to drive sustainable outcomes and consumer expectations adhering to policy definitions, philosophies, risk management, meeting SLAs and other core claims Schlafzimmer. With a strong digital focus, you''ll use our claims platform and tools to support highquality, efficient assessments.DisneyCustomer experience and communicationProven ability to communicate Antwort professional claims decisions and updates written and verbal (include strong telephony standards). Deliver a consistently high standard of service by communicating with empathy, clarity, and professionalism. You''ll provide timely updates, transparent decisions, and personalised support, ensuring members feel informed and cared for throughout their claims journey. Your communication style will support our customerfirst values while meeting both compliance and service expectations.Delegation of Authority (DA)Currently holds a DA with consistent pass QA outcomes in their portfolio.Risk ManagementDrives and adheres to all claims related regulatory and compliance requirements eg LICOP timeframes and set MetLife SLA decision timeframes. Recognises, categorises and prioritises claims in accordance with business needs and Fund partner expectations.Collaboration / CultureWork collaboratively with all stakeholders (internal and external) to establish and maintain relationships with Claimants, Financial Advisers, Distribution as applicable as well as drive an inclusive workplace culture (strong team player).Time ManagementProven time management skills with demonstrated ability to prioritise work in a changing environment.Continuous ImprovementIdentify opportunities to improve how we assess and manage claims, whether through streamlining processes, clarifying communications, or leveraging system capabilities. You''ll work with your leader to share these ideas, contributing to our broader goal of enhancing both the customer and case manager experience.ComplaintsRespond and manage escalations and complaints relevant to the team''s portfolio.Qualifications and ExperienceExperience managing life insurance claims, quandu with 3+ years in a Group Insurance environment (TPD, IP, Death).Work with minimal supervision and currently holds a DA across all Group product lines (can prove current DA held).Sound understanding of relevant legislation, policy definitions, and the claims assessment process.Proven ability to interpret complex information and make evidence-based, defensible decisions.Strong communication skills, with the ability to explain outcomes clearly and support customers with empathy.Comfortable working with digital systems and open to adapting to new technology and ways of working.A collaborative team player who contributes positively to team culture and supports shared goals.Demonstrated resilience and adaptability when managing complex cases, competing priorities, and change.Tertiary qualifications in a relevant field (e.g., allied health, legal, business, insurance) are desirable but not essential.To Be Successful You Will DeliverEnd-to-end management of life insurance claims (TPD, IP and Death), ensuring assessments align with policy terms, claims philosophy and risk frameworks.Completion of MetLife Claims Accreditation Program to attain DA within 3 months of employment commencement with MetLife.Quality decisions supported by sound analysis of medical, vocational, and financial information.Customerfirst outcomes by balancing empathy, compliance, and commercial considerations.Strong adherence to service level agreements (SLAs), quality standards, and customer satisfaction (CSAT) measures.Effective written and verbal communication that clearly outlines the decision rationale and next steps.Positive engagement with internal and external stakeholders, including medical providers, trustees, and reinsurers.Active contribution to a team environment that values professionalism, accountability, and continuous improvement.Benefits We OfferWhen you join MetLife Australia, you are joining a company that demonstrates holistic care and wellbeing for employees with benefits and programs that address physical, mental, social and financial health. We offer life insurance benefits, generous paid parental leave, marketleading menopause figura fertility leave, car leasing and more. As well as Employee Assistance Program (EAP), access to 360Health medical support, volunteer leave and study assistance.About MetLeeRecognised on Fortune magazine''s list of the "World''s Most Admired Companies", Fortune''s World''s 25 Best WorkplacesTM, as well as the Diversity Council of Australia Inclusive Employer Award, 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 our core values Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead we''re inspired Polyester transform the next century in financial services. At MetLife, it''s #AllTogetherPossible. Join us! #J-18808-Ljbffr