Job Description
This role involves delivering exceptional customer service, primarily through inbound calls, addressing inquiries about healthcare policy provisions from employer-provided plans. Outbound calls are also conducted as dictated by client‑specific processes.
Work-Life Balance
Enjoy a 5‑day work week with 2 rotational days off.
Global Shift Alignment
Work primarily during US business hours (night shift’s).
Compensation & Perks
- Competitive annual CTC.
- Free transportation service available for commutes within a 30km radius.
Education
- High School Diploma or equivalent required or any degree preferred.
Experience
We are hiring both fresher and experienced (should possess exceptionally great communication skills in English).
Skills & Knowledge
- Fluent in business English (written and spoken).
Key Responsibilities
- Providing accurate and comprehensive benefits and claims information to customers.
- Responding to telephone requests concerning policy coverage, claim status, and other policy‑related inquiries.
- Researching and discussing options regarding various aspects of an insured's policy and provider information, such as claim status and PDP application status.
- Efficiently accessing and utilizing multiple electronic systems to provide complete and accurate responses.
- Researching and executing correct procedures for sending notifications when claim adjustments are necessary.
- Enhancing and strengthening the relationship between the customer and MetLife.
- Clearly understanding and responding to providers in a dynamic, fast‑paced environment, while promoting MetLife's quality image.
- Performing all responsibilities consistently and professionally, utilizing strong verbal, interpersonal, and quality service skills.
- Handling inbound customer calls courteously, timely, and professionally, including managing inquiries via email and live chat.
- Actively listening to customers, understanding their needs, and resolving issues effectively.
- Escalating customer issues to appropriate staff and management for resolution as needed.
- Ensuring first call resolution through effective problem‑solving and call handling.
- Strictly following client program processes and performing all tasks courteously and professionally.
- Utilizing knowledge base resources and training to accurately answer customer questions.
- Creating and maintaining accurate customer records with detailed call information.
- Accurately documenting call resolutions in the appropriate systems.
- Strictly adhering to client processes for handling financial issues and inquiries.
- Complying with all requirements concerning confidential and personal information.
- Following all required scripts, policies, and procedures.
- Adhering to all attendance, work schedule, and scheduled training requirements.
Rounds of Interview
- HR Screening
- Online Assessment
- Manual Voice Assessment
- Operations Interview