Sr. Insurance Associate

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:

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.