Sr. Insurance Associate

MetLife; Jaipur; On-site; INR 500,000 - 800,000; Full time

Job summary

MetLife, in Jaipur, seeks a meticulous Admin Processing Associate for the RIS team. The role involves updating policy details, executing financial transactions like bank changes and payment re-issues for annuitants with structured settlements, and ensuring accurate processing per healthcare guidelines.

You will handle end-to-end RIS and Income Annuities tasks, verify documents, maintain data integrity, and deliver timely responses to processors and customers while complying with internal

Qualifications

• Bachelor’s degree required.
• 1/2 years of work experience in US claim or policy Admin processing and Customer service experience preferably in Insurance Domain.
• Strong written and oral communication skills.
• High attention to detail and analytical thinking.

Responsibilities

• Process claims and policy updates as per requests.
• Handle end-to-end processing for RIS and Income Annuities, updating policy details.
• Respond to customer requests and provide real-time communications to processors.
• Verify and crosscheck policy documents and requests for completeness and accuracy.
• Learn and apply process guidelines, ensuring compliance with internal controls.

Education

Bachelor’s degree (Any Stream)

Tools

Mainframe

ACE

Kyriba

Job description

Role Value Proposition

This position is with GSS Operations. An individual will be aligned with RIS team. In this position need to perform is responsible for managing administrative tasks like updating the policies’ details based on the request and core documents of the policy. Work includes critical financial transactions such as bank change, and payment re-issue for annuitants that have opted for a structured settlements product from MetLife. Pension Ops team maintains the accounts of the annuitant. Associates update customer information on Mainframe sessions & ACE. Pension Ops is a part of Retirements Income Solutions wherein the team do direct payments to the annuitant's basis the policy chosen by the customers in the form of monthly or Lumpsum Payments. Direct Pay Ops Admin Team provides administrative support in few work types in Direct Pay Ops Value Chain which includes Retirements, CA start up payments for US Annuitants and Kyriba wires for foreign nationals. Team processes various transactions for Annuities and Pensions, Retirements etc. using multiple applications verifying all necessary documents before processing. Approvers will be approving certain transaction types and should be able to process transactions as per the requirement. They also need to fill in the approver checklist and provide feedback for rejection. They should be handling rush requests and send communication real time to processors. Approver must be very careful while rejecting the case defining the error and solution in feedback email.

Key Responsibilities

• Good written and oral communication skills.
• Strong understanding and comprehension of the English language.
• Good Analytical, problem-solving skills.
• Very High Detail Orientation.
• Process claims as per the set healthcare guidelines.
• Respond to customer requests via multiple sources, providing excellent service to MetLife’s customers who have insurance or other financial service products or benefit plans.
• Research requests regarding various product aspects, policy provisions, claim status, basic procedures, etc.
• Accurate processing of Retirement Solutions and Income and meeting productivity targets.
• Manage end-to-end processing for RIS and Income Annuities, including updating policy details and ensuring all changes reflect the validated customer request like Deductible, coinsurance, copay, out of pocket.
• Able to learn, adapt, implement process guidelines into practice, work as a natural team-player in the process.
• Efficiently access and navigate multiple electronic systems to provide a complete and integrated response to the customer’s inquiry.
• Verify and crosscheck all policy documents and requests received, ensuring completeness, accuracy, and adherence to internal controls.
• Need to ensure quality and productivity targets are met.
• Ensure compliance with internal policies and procedures, external regulations and information security standards.
• Apply strong comprehension, documentation, and problem-solving skills to interpret customer requests and resolve processing or indexing challenges.
• Understand and interpret the handwritten documents from US customers also determine the updated address from LN application.

Education, Technical Skills & Other Critical Requirement

Education: Bachelor’s degree (Any Stream) With minimum of 15 years of education.

Experience (In Years): 1/2 years of work experience in US claim or policy Admin processing and Customer service experience preferably in Insurance Domain.

Technical Skills

• Computer navigation skills.
• Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy).
• Working knowledge of MS Excel and MS Word.

Process Specific Skills

• Knowledge of Insurance principles in relation to the US Insurance industry.
• Knowledge about US Culture.
• Knowledge of Policy admin and retirement income solutions will be an added advantage.
• Written- External/Internal (Free Flow) Email Writing.
• Free flow correspondence creation.
• Excellent comprehension skills – Interpret/analyze data from various resources, understands, documents and responds appropriately.
• Ability to use approved AI tools to support routine tasks such as drafting, summarizing, organizing information, and improving day-to-day efficiency.
• Working knowledge of AI capabilities with the ability to evaluate and validate outputs with guidance.