Job Description

- Claim Preparation

Position Title:

Sr. Associate

Function, Responsibility Level:

Operations, Sr. Associate

Reports to (Responsibility Level): TL / AM / UM

Supervises: NA

Location:

Jaipur

Global Grade:

GG08

Cost Center: TBD

Complexity:

T4C4

PID/s Load Mapping:

TBD

Position Summary

Basic Function

The process consists of Regional and National account Customers with Group Life claim preparation services.

The key deliverables of the role will include but will not be restricted to the details below:

Essential Functions

• Reviews notifications of death received from multiple sources such as electronic submissions from employers and third-party administrators, first notice of loss phone department, Claim Prep Mailbox, and electronic customer files to determine where and to whom claim kits are to be mailed.
• Review and maintain data in multiple systems such as retrieving beneficiary information, benefit amounts and enrollment history for the claim to be in good order.
• Evaluate deaths to ensure coverage is in effect at Date of Death and the correct beneficiary of record.
• Wok to resolve items not in good order associated with the claim as needed to allow for claim determination.
• Participate in regular cross training.
• Handle Electronic Death Match Cases from Initial Review to Claims Processing to ensure they handled appropriately within required SLAs.
• Performs other related duties as assigned or required by business need.
• Ability to multi-task and navigate multiple computer software programs simultaneously.
• Analyze, validate, identify discrepancies in claims and process transactions as per procedures.
• Must have attention to detail approach while working on the claims.
• Excellent communication skills required to interact with multiple departments at stateside and GOSC, basis requirement.
• Should have strong email comprehend skills & ability to provide resolutions on customer queries & Escalation.
• Should have claims product knowledge to manage claims preparation.
• Ability to work on routine/standardized transactions.
• Knowledge about the US Life Insurance industry (Life insurance administration)
• Ensure that receipts are processed within SLAs and Internal standards

Knowledge, Skills, and Abilities

Education

• Bachelor\'s degree (Any Stream) or diploma with a minimum of 15 years of education. (Candidates with B.Tech, MBA, BCA, or with any technical education would not be required)

Experience

• 12-18 months of Customer Service / Call Center experience in voice or blended environment
• Preferred - Life insurance administration experience

Knowledge and skills (general and technical)

• Computer navigation skills
• Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy)
• Minimum knowledge of MS Excel and MS Word.
• Effective communicator / Speaks clearly & succinctly.
• Strong understanding and comprehension of the English language
• Knowledge about the US Insurance industry & US Culture
• Should be able to read, interpret business documents.
• Analytical and interpersonal skills
• Escalate issues if required.
• Data gathering ability/ Eye for detail.
• Teamwork/ Managing Self / Adaptability
• Ability to work successfully in production driven environment.
• Adaptability to change.
• Self-disciplined and result oriented.
• Ability to multitask.
• Ability to work effectively as part of a team

Other Requirements (licenses, certifications, specialized training - if required)

• None

MetLife:

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 help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.

We are ranked #44 on the Fortune 500 list for 2019. In 2019, we were named to the Dow Jones Sustainability Index (DJSI) for the fourth year in a row. DJSI is a global index to track the leading sustainability-driven companies.

MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world.

MetLife is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at MetLife without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

MetLife