Hiring: Life Claims Examiner Team Leader_Metlife_Jaipur

We are Hiring for Life Claims Examiner (Team Leader) for Metlife Jaipur.

Company: Metlife

Open Positions: 12

Designation: Team Leader Life Claims Examiner

Experience: 6-7+ Years

Shift: 6:30 PM to 3:30 AM (US Shift)

Work Mode: Work from Office (WFO)

Interview Drive: 16 November

Interview Timing: 11:00 AM to 1:00 PM

MetLife, Inc. is one of the world's leading financial services companies, with a legacy of over 150 years. Founded in 1868, MetLife operates in more than 40 markets worldwide, serving over 100 million customers. The company offers a wide range of solutions across life insurance, employee benefits, retirement, annuities and asset management.

Recognised for its global presence, customer focus and commitment to financial security, MetLife continues to help individuals and businesses build a more confident future.

Explore more: https://www.metlife.com/

Role Overview

We are hiring experienced professionals for the GG10 Team Leader role in US Group Life Insurance Claims Operations.

The role involves reviewing, researching and investigating complex, pended Group Life claim submissions with multiple coverages to determine claim eligibility and payable amounts in accordance with policy provisions.

The ideal candidate should have strong hands-on experience in US Life Insurance claims processing, claims adjudication, policy interpretation and team management.

Key Responsibilities

• Review, research and investigate complex Group Life Insurance claims.
• Identify and obtain missing information required for claim evaluation.
• Interpret policy provisions and manually adjudicate claims within payment authority.
• Conduct claim investigations using internal and external sources, including medical reports, autopsy reports, toxicology reports and accident reports.
• Manage outbound calls and follow-ups with groups, policyholders and other stakeholders.
• Respond to customer queries, escalations and written/telephone referrals.
• Ensure timely closure of pending claims while maintaining production and quality standards.
• Monitor team performance through daily scorecards, reports, productivity and quality metrics.
• Manage workforce planning, day-to-day WFM activities and operational deliverables.

Required Skills & Experience

• 67+ years of experience in customer service, insurance administration or claims operations.
• Good understanding of the US Life Insurance industry and insurance principles.
• Hands-on experience in Group Life Claims / Life Claims / Death Claims processing.
• Strong knowledge of claims adjudication, policy interpretation and claims investigation.
• Experience handling complex claims and customer escalations.
• Prior team handling, coaching, performance monitoring and WFM experience.
• Excellent verbal and written communication skills.
• Strong analytical, problem-solving and decision-making abilities.
• Proficiency in MS Excel and MS Word.

Important Details

• Candidates must be comfortable working in US shifts.
• Work from office is mandatory.
• Candidates should have strong hands-on knowledge of Life Claims operations.
• Candidates with relevant US Group Life Insurance claims experience will be preferred.

Thanks,

Ruchi