Senior Life Claims Examiner

Year    Jaipur, Rajasthan, India

Job Description


Location(s)

  • Posting Location: Jaipur, India
CountryIndiaWorking ScheduleFull-TimeWork ArrangementHybridRelocation Assistance AvailableNoPosted Date11-Jun-2024Job ID3015Description and Requirements \xe2\x80\x93 Life Statement of HealthPosition Title: Associate/Sr. Associate _ R1&R2Function, Responsibility Level:Operations, Associate/ Sr.AssociateReports to (Responsibility Level): TL / AM / UMSupervises: NALocation: JaipurGlobal Grade:7/8Cost Center:10020441Complexity:T3C3-PID/s Load Mapping:INS-002Position SummaryBasic FunctionThe primary function is to evaluate Statement of Health applications for Life coverages for Group customer.The key deliverables of the role will include but will not be restricted to the details below:Reviewer Level-1 & Reviewer Level-2:
  • Review customer Statement of Health provisions and keying customer information in system
  • Review Statement of Health procedures by using the defined guidelines
  • Identify and obtain missing information required to evaluate Statement of Health form
  • Ensure that the allocated reports/certification requests are completed within recommended timelines and accuracy thresholdsAdhere to agreed timelines and SLA\xe2\x80\x99s
Knowledge, Skills and AbilitiesEducation
  • Bachelor\xe2\x80\x99s degree (Preferred BSc. Biology) or diploma with a minimum of 15 years of education
Experience
  • Professional with 1-2 years of work experience in BPO industry preferably under medical transcription for US Insurance
Knowledge and skills (general and technical)
  • Basic Knowledge of Medical Terminology
  • Computer navigation skills
  • Basic knowledge of MS Office
  • Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy)
  • Exposure to multiple mainframe and web systems
  • Good analytical skills with an ability to research & take decision to resolve problems in underwriting
  • Knowledge of Insurance principles in relation to the US Insurance industry
  • Knowledge about US Culture
  • Strong organizational skills
  • Good communication skills both written & Verbal
  • Demonstrate ability to work independently and in a team environment
  • Self-disciplined and results oriented
  • Ability to multitask
  • English language skill \xe2\x80\x93 should be able to read, comprehend and write correctly
  • Must be opened to working in shifts
Other Requirements (licenses, certifications, specialized training \xe2\x80\x93 if required)
  • Good computer navigation skills
  • Good keyboarding speed
  • Basic knowledge of Medical Terminology
Working RelationshipsInternal Contacts(And purpose of relationship):
  • AM/TL for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking feedback and support as well as associate development.
  • Manager for the purpose of settling issues left unresolved by the AM/TL and monthly evaluation of performance.
  • Quality Compliance Analyst (QCA) for the purpose of feedback and audit.
  • Trainers for the purpose of pre-process and process training.
External Contacts(And purpose of relationship) \xe2\x80\x93 If Applicable
  • MetLife Subject Matter Experts for the purpose of seeking missing information.
  • MetLife Subject Matter Expert for the purpose of work-related issues and escalated transactions.
Enclosures:MetLife Values:Our purpose and valuesOur purpose is why we are in business and reflects what we stand for and believe in. Our purpose is to help people pursue more from life. Our values are how we achieve that purpose, through an expression of who we are, what we stand for as a company and how we conduct our business:Put Customers First
Caring for and respecting customers is core to everything we do. It defines our work and shapes the culture for our people, radiating out to our shareholders and communities.Be The Best
We are relentless in our search for new and better ways of doing things. As a leader in our industry, we constantly raise the bar, take calculated risks and learn quickly from our mistakes.Make Things Easier
Products in our industry aren\'t always easy to understand. That\'s why we are always looking for simpler ways to connect customers to the best solutions. By doing this, we aim to exceed their expectations and build trust.Succeed Together
United by our purpose, we live by a collective commitment to honesty, integrity and diversity. We are open and inclusive, proudly taking and applying the best ideas from every part of our company.

MetLife

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Job Detail

  • Job Id
    JD3354783
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Jaipur, Rajasthan, India
  • Education
    Not mentioned
  • Experience
    Year