Senior Life Claims Examiner

Year    RJ, IN, India

Job Description

Location(s)



• Posting Location: Jaipur, India



Country
India
Working Schedule
Full-Time
Work Arrangement
Hybrid
Relocation Assistance Available
No
Posted Date
11-Jun-2024
Job ID
3043
### Description and Requirements

### - Life Statement of Health

Position Title: Associate/Sr. Associate _ R1&R2

###### Function, Responsibility Level:

###### Operations, Associate/ Sr.Associate

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

Supervises: NA

Location: Jaipur

Global Grade:

7/8

Cost Center:



10020441

Complexity:



T3C3-

PID/s Load Mapping:



INS-002

Position Summary



Basic Function


The 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's
Knowledge, Skills and Abilities

Education



• Bachelor's 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 - should be able to read, comprehend and write correctly
• Must be opened to working in shifts




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

• Good computer navigation skills
• Good keyboarding speed
• Basic knowledge of Medical Terminology
Working Relationships

Internal 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) - 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 values


Our 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.

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Job Detail

  • Job Id
    JD3391927
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Contract
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    RJ, IN, India
  • Education
    Not mentioned
  • Experience
    Year