Sr. Insurance Associate

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 like 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

AI Fluency: Working Knowledge of Microsoft Copilot