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Insurance Associate

Date Posted: Jan 19, 2022

Location: Noida, IN, 0

Company: MetLife

Position Summary:

  • Backend support needed to manage & validate claims for NIGO which are transactions rejected by BOT & routed to Trust portal (Business application). Responsible for managing Total Absence Management – Intermittent Absence and

FMLA – Auto Adjudication claims. Team member to help with initial claim setup in accordance with the plan provisions,

identify potential recurrent claims and utilize several systems to verify coverage & help determine eligibility.

  • Business recommended TAT to complete the activity would be 1 to 3-business days.
  • The position is expected to do absence management and adjudication on FMLA and TAM claims. Interact with claim

specialist, claim support specialist (QA), Claims Manager (stateside supervisors).

Job Description:

 

  • Analyze, validate and process transactions as per Desktop procedures (L3 & L4)
  • Analyze and research all discrepancies.
  • Research & Investigate and resolve outstanding items
  • Determine eligibility and applicable plan provisions while meeting timeliness goals
  • Clear and accurate written and verbal communication (Scripted and Templatized) with employee, employer & stateside resources by email
  • Establish action plans for each file to bring claims to resolution
  • Utilize internal and external specialty resources to maximize impact on each claim file
  • Utilize Intellis and ACS (SIR) to update and maintain accurate data record
  • Use PC programs to increase productivity and performance
  • Ensure that the assigned targets are met in accordance with SLA and Internal standards
  • Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence
  • Work as a team member to meet office goals to obtain disability’s vision while demonstrating core values and

meeting key measures.

  • Ensure adherence to established attendance schedules
  • Close visual acuity - viewing a computer terminal and extensive reading

MetLife:

 

MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies, providing insurance, annuities, employee benefits and asset management to help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.

 

We are ranked #44 on the Fortune 500 list for 2019. In 2019, we were named to the Dow Jones Sustainability Index (DJSI) for the fourth year in a row. DJSI is a global index to track the leading sustainability-driven companies.      

 

MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world.

 

MetLife is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at MetLife without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.