Sr. Insurance Associate

MetLife; Jaipur; On-site; INR 400,000 - 600,000; Full time

Job summary

MetLife is seeking an Insurance Associate (Specialist) in Jaipur to contribute to proactive claims management and deliver service excellence. You will assess fast-track claims, communicate with customers, and maintain accuracy while adhering to regulatory guidelines.

Ideal candidates bring 2–3 years in claims or administration, strong communication, and a customer-first mindset. The role involves careful analysis and decisive action within MetLife's compliance framework.

Qualifications

• 2–3 years of experience in claims management and/or administration.
• Bachelor’s degree or Diploma with 15 years of education.
• Strong customer focus and service orientation.
• Excellent written and verbal communication skills.
• Ability to analyze information and make decisive decisions.

Responsibilities

• Assess and decide on fast-track claims and communicate with customers.
• Ensure work meets quality standards within agreed timelines.
• Identify and triage claims not meeting fast-track criteria.
• Make liability decisions within the defined controls; review information and be decisive.
• Handle Med Fee authorization and ensure timely payments.

Skills

Communication

Customer service

Interpersonal skills

Attention to detail

Multitasking

Organization

Team player

Compliance knowledge

AI fluency

Education

Bachelor's degree or Diploma (15 years education)

Tools

Microsoft Copilot

Job description

Insurance Associate (Specialist)

Position Title: Sr Associate

Reports to (Responsibility Level): Assistant Manager

Supervises: NA

Location: Jaipur

Global Grade: GG 8

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

• 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

(In Years) 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).
• AI Fluency: Working Knowledge of Microsoft Copilot

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)