Insurance Associate(Specialist)

Position Title: Sr Associate

Reports to (Responsibility Level): Assistant Manager

Supervises: NA

Location:

Jaipur

Global Grade

GG 8

Complexity

PID/s Load Mapping:

Position Summary

To contribute to the proactive management of claims administered by MetLife, providing reassurance to customers through service excellence and accuracy of work, whilst developing and maintaining strong relationships with internal and external customers.

Job Responsibilities

Fast Track claims assessment:

Responsible for the claim assessment, decision making and customer communication within agreed controls on fast-track claims.
Ensure that work is completed to required quality standards within agreed timelines.
Ensure that claims not meeting fast track criteria are identified and triaged appropriately.
This role requires the ability to make claim liability decisions within the agreed controls. The role holder is expected to demonstrate the ability to review information, analyze and be decisive.

Other Claims Assessment

Ensure that work is completed to required quality standards within agreed timelines.
This role requires the ability to make claim liability decisions within the agreed controls. The role holder is expected to demonstrate the ability to review information, analyze and be decisive.

Med Fee Authorization

Responsible for checking med fee payments raised by the Claims Administrators, to ensure timely and accurate payment of all med fees.

Education, Technical Skills & Other Critical Requirement

Education

Bachelor's degree (Any Stream) or diploma with a minimum of 15 years of education.

Experience

(In Years)

Candidates should have a strong background in Claims management and/or administration with 2-3 years experiences.

Demonstrate a strong customer focus, with passion for ensuring the customer receives the right support and solutions

Technical Skills

Excellent written and verbal communication skills (verbal communication limited with UK Ops Team)

Confident and decisive when analyzing information and determining outcomes.

Excellent customer service skills.

Excellent inter-personal skills, with the ability to liaise with people at all levels.

Ability to work efficiently with good attention to detail.

Accurate and able to demonstrate a high level of organization.

Ability to multi-task and prioritize workload.

Self-motivated, enthusiastic with a can do attitude.

Good team player with the ability to work on own initiative.

A good understanding of compliance, legal, CBI and FCA regulations (full MetLife Corporate training will be provided).

Other Critical Requirements Like Voice/ Non-Voice For Insurance Ops

Non-Voice

Rule & non-rule-based decision making, domain knowledge, extensive customer communication (Email only)

AI Fluency: Working Knowledge of Microsoft Copilot

Sr. Insurance Associate