15 Insurance Associate Jobs

Analyze, validate and process transactions as per Desktop procedures (L3 & L4) Analyze and research all discrepancies. Research & Investigate and resolve outstanding items Determine eligibility and applicable plan provisions while meeting timeliness goals Clear and accurate written and verbal communication (Scripted and Templatized) with employee, employer & stateside resources by email Establish action plans for each file to bring claims to resolution Utilize internal and external specialty resources to maximize impact on each claim file Utilize Intellis and ACS (SIR) to update and maintain accurate data record Use PC programs to increase productivity and performance Ensure that the assigned targets are met in accordance with SLA and Internal standards Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence Work as a team member to meet office goals to obtain disability s vision while demonstrating core values and meeting key measures. Ensure adherence to established attendance schedules Sedentary work involves sitting most of the time Close visual acuity - viewing a computer terminal and extensive reading Talking expressing or exchanging ideas by means of the spoken word

Retrieval of Sold_Case doc from WorkDesk/BIZFLOW. Review UW Notes in WorkDesk/Bizflow (Notes Tab). Retrieve Process Checklist from SM Knowledge Center (Online Module). If PPO Dental, order Dental Cards via Quadient (web-based) Update Group Information and Class Structure in Structure Portlet & SoldCase. Review all submission documents/tabs for missing information. Review all downstream applications for accuracy. Send emails via email templates. Generate MetLife group insurance policies/certificates. Process First Bill audit and reconcile billing system if required Initiate MetLink access Complete New Business case in WorkDesk/Bizflow.

Analyze, validate and process transactions as per Desktop procedures (L3 & L4) Analyze and research all discrepancies. Research & Investigate and resolve outstanding items Determine eligibility and applicable plan provisions while meeting timeliness goals Clear and accurate written and verbal communication (Scripted and Templatized) with employee, employer & stateside resources by email Establish action plans for each file to bring claims to resolution Utilize internal and external specialty resources to maximize impact on each claim file Utilize Intellis and ACS (SIR) to update and maintain accurate data record Use PC programs to increase productivity and performance Ensure that the assigned targets are met in accordance with SLA and Internal standards Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence Work as a team member to meet office goals to obtain disability s vision while demonstrating core values and meeting key measures. Ensure adherence to established attendance schedules Sedentary work involves sitting most of the time Close visual acuity - viewing a computer terminal and extensive reading Talking expressing or exchanging ideas by means of the spoken word

Responsible to create structure setup and maintenance. Required to setup specification in application as per the instruction Responsible to provide timely status to customer Responsible to provide query support to customer issues Responsible to respond to customer inquires Responsible to do implementation of group into the system

PID/s Load Mapping: 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. 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 Bachelor s degree (Any Stream) or diploma with a minimum of 15 years of education. Experience 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)

The Team You Will Join New Business Rate Generation associates are responsible for: Data scrubbing & analysis - Review, interpret & extract information Review plan design, RFP summary, Benefits summary & underwriting guidelines Co-ordinate with onshore SMEs, obtain information and verify Rate requirements Populate information in relevant systems Run manual rate calculations Perform basic risk assessment Rate generation for Any other essential function that may occur from time to time as directed by the Supervisors & MetLife US underwriters & consultants

The Team You Will Join New Business Rate Generation associates are responsible for: Data scrubbing & analysis - Review, interpret & extract information Review plan design, RFP summary, Benefits summary & underwriting guidelines Co-ordinate with onshore SMEs, obtain information and verify Rate requirements Populate information in relevant systems Run manual rate calculations Perform basic risk assessment Rate generation for Any other essential function that may occur from time to time as directed by the Supervisors & MetLife US underwriters & consultants

The incumbent will be required to be a part of Remittance Operations function., responsible for processing various types of transactions in the assigned process and assist process FLM to maintain process health and SLAs. Process billing and remit related requests for various MetLife products across Small, Regional and National markets Follow up with required stakeholders for additional/ missing information or any other relevant task that is important for drawing closure on a case Ensure that the allocated inventory/ tasks are completed within recommended timelines and accuracy thresholds Build excellent business relationship with customer groups, peers and seniors Able to work as a natural team-player in the business functions Maintain cordial communication with internal and external stakeholder with regards to process and issue resolution Responds promptly and calmly to changing events and situations Effectively responds to actions and reactions when faced with difficult situations, negativity in the workplace, or corporate policies that may not be agreed with Bachelor s degree (Any Stream) or diploma with a minimum of 15 years of education Professional with 1 - 3 years of work experience in Insurance industry preferably under Insurance Good knowledge of MS office - Excel, Word, PowerPoint, Microsoft teams, Outlook Email interpretation skill Excellent communication (Written & Verbal) and comprehension skills Ability to work various shifts within hours of operation. Flexibility is a must, as shift can/ will change to meet business needs.

Process billing and remit requests for various MetLife products across Small, Regional and National markets Follow up with required stakeholders for additional/missing information or any other relevant task that is important for drawing closure on a case Ensure that the allocated inventory/task is completed within recommended timelines and accuracy thresholds Build excellent business relationship with customer groups, peers and seniors Able to work as a natural team-player in the business functions Maintain cordial communication with internal and external stakeholder with regards to process and issue resolution Provide inputs on process and system to the team members Responds promptly and calmly to changing events and situations Effectively responds to actions and reactions when faced with difficult situations, negativity in the workplace, or corporate policies that may not be agreed with Professional from the Operations with at least 0-2 years of working experience of which at least 1 year work experience in a BPO operations environment in the specific insurance sector College (Graduation in any stream)

Essential Functions Communication skills - should be able to read and interpret emails / business documents and communicate with customers (End Customers Brokers) Excellent written communication skills (email writing skills) Ability to comprehend 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 Ability to work on routine/standardized transactions Adaptability to change Self-disciplined and result oriented Ability to manage multiple tasks prioritizing effectively. Ability to find creative and innovative solutions to business problems Ability to offer innovative ideas to polish detailed, metric based reports and simplifies the at a glance information. Proven knowledge of MS Excel, Word Power Point Ability to work with multiple stakeholders across mandatory Self-motivated, Self-disciplined, result oriented, well organized, and flexible with a sense of urgency approach Must be flexible to mirror / overlap US Daytime work hours Teamwork/ Managing Self / Adaptability Adaptability to change Ability to manage multiple tasks prioritizing effectively Ability to proactively escalate issues when required

Position Summary This position is with the GSS Operations team. An individual will be aligned to Retail Life Policy Admin team. This team perform daily request for Verification of Coverage, Acknowledgement of Insurance, produce letter providing value for government benefits, Duplicate policy - VARI and PAS task where processor creates the letter and send the correspondence to the end requestor via email or AOR. Creating and log the illustrations for the end requestor with respective standards. Preparing Cash and Loan Quotations on received request and share the correspondence with end requestor.Other deliverables as listed in the process SOPs and guidelines. Any other essential function that may occur from time to time as directed by the Supervisor. Job Responsibilities Review and understand the request. Proactively managing the work volumes of these to stay within service level agreements. Perform the required financial/ non-financial transaction for customer accounts. Complete the tasks assigned as per the pre-defined timelines with accuracy. Maintain a day-to-day production tracker and Time and Motion tracker. Participate in the calls/discussions as applicable for this process (Team Huddles, Calibration, QA Feedback discussion, discussion with stateside team (as applicable) etc.) Call out process related risk/issues/misses on timely manner and to the designated SPOC. Takes responsibility for the work done and share performance improvement ideas as applicable. Interpret information from customer requests and apply them to our standard procedures. Involvement in training of others within the team Completion of other, similar processes to support the overall team delivery. Sampling of peer work Knowledge, Skills and Abilities Education Bachelor s degree in any stream degree or diploma with a minimum of 15 years of education. Experience 1-2 years Knowledge and skills (general and technical) Computer navigation skills along with Proficient in Microsoft Excel Keyboarding and data entry speed (Minimum 35 WPM with 90% accuracy) Eye for detail Strong English skills that allow for reading, understanding and subsequent interpretation of the data Problem Solving Judgement Decision making Multitasking Enthusiastic and flexible. Proven customer service skills Excellent analytical and research skills Well organized and flexible with a sense of urgency approach Teamwork / Managing Self / Adaptability Ability to work successfully in production/metrics driven environment. Adaptability to change Accounting/math problem solving skills Ability to handle feedback and be open to continuous process improvements.

Job Responsibilities Essential Functions Communication skills - should be able to read and interpret emails / business documents and communicate with customers (End Customers Brokers) Excellent written communication skills (email writing skills) Ability to comprehend 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 Ability to work on routine/standardized transactions Adaptability to change Self-disciplined and result oriented Ability to manage multiple tasks prioritizing effectively. Ability to find creative and innovative solutions to business problems Ability to offer innovative ideas to polish detailed, metric based reports and simplifies the at a glance information. Proven knowledge of MS Excel, Word Power Point Ability to work with multiple stakeholders across mandatory Self-motivated, Self-disciplined, result oriented, well organized, and flexible with a sense of urgency approach Must be flexible to mirror / overlap US Daytime work hours Teamwork/ Managing Self / Adaptability Adaptability to change Ability to manage multiple tasks prioritizing effectively Ability to proactively escalate issues when required

Backend support needed to manage validate claims for NIGO which are transactions rejected by BOT routed to Trust portal (Business application). Responsible for managing Total Absence Management - Intermittent Absence and FMLA - Auto Adjudication claims. Team member to help with initial claim setup in accordance with the plan provisions, identify potential recurrent claims and utilize several systems to verify coverage help determine eligibility. Business recommended TAT to complete the activity would be 1 to 3-business days. The position is expected to do absence management and adjudication on FMLA and TAM claims. Interact with claim specialist, claim support specialist (QA), Claims Manager (stateside supervisors

Description and Requirements Specialist Life Statement of Health_GG9 The primary function of the Nurse Reviewer is to evaluate Statement of Health applications for Life coverages for Group customer. Also determine the need for additional medical information and decision making regarding the insurability of an applicant based on MetLife s Medical Underwriting Guidelines. Provide guidance to SOH Reviewer 1 2 on need basis. The key deliverables of the role will include but will not be restricted to the details below: Review customer Statement of Health form and make decisions regarding approval, denial, the need for further investigation in the form of medical records or exams Understand the US medical underwriting guidelines and navigate for relevant actions to be taken while initiating the final decision basis received medical records from physician (APSQ and APS) Review medical condition report (Paramed Exam- Blood Urine Report) and validate the suggested medical treatment/medication Understand the conditions for the prescribed medicines by physician Identify and obtain missing information required to process approve decline condition Review Statement of Health procedures by using the defined SOP Adhere to agreed timelines and SLA s

Description and Requirements 1. Essential Functions Eligibility Installation executives are responsible for Responsible to create structure setup and maintenance. Required to setup specification in application as per the instruction Responsible to provide timely status to customer Responsible to provide query support to customer issues Responsible to respond to customer inquires Responsible to do implementation of group into the system Primary Internal Interactions AM for the purpose of reporting performance, clarifying concerns, and seeking feedback and support. Manager for the purpose of settling issues left unresolved by the AM and monthly evaluation of performance. Quality Compliance Analyst (QCA) for the purpose of feedback and audit. Trainers for the purpose of process training. Associates for handling day-to-day execution of transactions and process activities with respect to the process. Primary External Interactions External interactions are required