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 thresholds
Adhere 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.

Sr. Insurance Associate