Insurance Associate

2 weeks ago


Noida Uttar Pradesh, India MetLife Full time

**Position Summary**

**Basic Function**
- Backend support needed to manage & validate claims for NIGO which are transactions rejected by BOT & routed to Trust portal.
- Report utilized to locate claims that qualify to have a satisfaction callback performed, calls and answers are tracked and sent to appropriate leaders for review.
- Create and route tasks to NIGO teams Catalyst workbasket anytime a STD claim is created missing AA / NIGO mandatory fields. The claim is reviewed and missing data is added if located an task is closed.
- Manage mailbox which receives and works requests to structure or add tasks to legacy claims
- Manage mailbox which receives simplified web intake for web intake, that is utilized to create claims via Legacy intake platforms
- Manage mailbox which receives ad hoc requests from AMS teams to create and associate claims via Legacy intake platforms
- Customer specific process for workers comp claims which involves claim creation, suppression of automated acknowledgement letter and sending manually created acknowledgement letter

**The key deliverables of the role will include but will not be restricted to the details below**:
**Essential Functions**
- Ensure timely & accurate processing of claims
- Researching and resolving complex issues
- Analyze, validate and process transactions as per Desktop procedures
- Analyze and research all discrepancies in the claims report and mailbox
- Research, investigate and resolve outstanding items in claims reports & mailbox
- Resolve claim concerns, complete build requests and setup structure for claims
- Scripted calls to customer to gather claim feedback,
- Utilize internal and external specialty resources to maximize impact on each claim file
- Ensure assigned targets are met in accordance with SLA and Internal standards
- Ensure 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

**Knowledge, Skills and Abilities**

Minimum 1-2 years of experience in a transactional, blended process of insurance or related industry with relevant experience of working in a business environment (preferred but not compulsory)

General
- Good computer navigation skills
- Good keyboarding speed
- Good knowledge of complete MS Office suite

Domain
- Knowledge about the Insurance industry in US
- Knowledge about US Culture
- Knowledge of Insurance principles
- Knoweledge of Disability

Technical
- Excellent Communication skills - should be able to speak effectively, read, interpret business documents. Good verbal/written communication
- Proficiency in English - Spoken and Written
- Analytical and interpersonal skills
- Escalate issues if required
- Data gathering ability/ Eye for detail
- Team work/ Managing Self / Adaptability
- Ability to work successfully in production driven environment
- Adaptability to change
- Ability to work on routine/standardized transactions

Desired:

- Self disciplined and result oriented
- Ability to multi task
- Ability to work effectively as part of a team

**MetLife**:
MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies, providing insurance, annuities, employee benefits and asset management to help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.

We are ranked #44 on the Fortune 500 list for 2019. In 2019, we were named to the Dow Jones Sustainability Index (DJSI) for the fourth year in a row. DJSI is a global index to track the leading sustainability-driven companies.

MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world.


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