Sr. Insurance Associate

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.