Team Leader – Life Claims Examiner

Basic Function:
The process consists of Review, research, and investigate pended Group Life claim submission with multiple coverages and complexity to determine if claim is payable in accordance with various policy provisions, manage Call-ups and outreach to groups for missing information.

Key Responsibilities
 Review and assess death claim cases across multiple case types (7 claim categories)
 Conduct due diligence and investigations to minimize financial risks
 Manage the complete claims lifecycle from policy administration to final claim decision
 Collect, verify, and analyze required documents
 Identify discrepancies, inconsistencies, and potential risks in claim submissions
 Make independent claim decisions based on policy terms, documentation, and assessment
 Ensure accurate processing while maintaining customer trust and preventing fraud

Candidate Profile
 Experience: 5–10 years of relevant experience
 Strong experience in claims processing / claims decision making
 Experience in BFSI domain preferred, especially:
o Life insurance / death claims
o Banking operations
o Mortgage loans
o Credit analysis
o Loan approvals
o Conditional approvals
o Underwriting / Pre-underwriting

Skills Required
 Excellent English communication skills (written & verbal)
 Strong stakeholder management ability
 High attention to detail and analytical mindset
 Ability to identify discrepancies and assess risks
 Confident communication style as the role involves representing MetLife
 Regional language knowledge is not mandatory

Work Model
 Location: Jaipur – Kalwara
 Work Pattern: Hybrid
o Monday & Friday: Work from Home
o Tuesday, Wednesday & Thursday: Office
 Company-provided cab facility available (free)