NOIDA · FULLTIME
Sr Insurance Associate
MetLife
Noida · onsite · Posted 5d ago
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Section · 01
About this role
Job Responsibilities
- Scrutinizing dental claim documents & settlements
- 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.
- Follow HIPAA guidelines
- Accurate processing of Dental claims and meeting productivity targets
- Good understanding of Claims adjudication fundamentals
- Good understanding of ICT & CPT Codes
- Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocket
- Able to learn, adapt, implement process guideline 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.
- Handle escalations
- Need to ensure quality and productivity targets are met
- Ensure compliance with internal policies and procedures, external regulations and information security standards
- 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 Dental claims terminologies and processes 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
- Strong organizational skills
- Excellent Language skills (written ,verbal and comprehension)
- Demonstrate ability to work independently and in a team environment
- Self-disciplined and results oriented
- Ability to multi task
- Strong understanding and comprehension of the English language
- Good PC skills
- Attention to detail
- Team player
- Positive attitude
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Section · 02
Skills
Computer navigation skillsHIPAA GuidelinesInsurance PrinciplesClaims Adjudication FundamentalsWordexcelKeyboarding and data entryICT CPT CodesDental claims terminologies
Section · Company
About MetLife
MetLife
Insurance
4k+
employees
2008
18 years old
New York
United States (USA)
₹9.3L PA avg
Avg at MetLife
About
As a global leader in protection planning, MetLife offers insurance and financial solutions, serving individuals and businesses in over 50 countries.
Industries
InsuranceFinancial Services
Employee ratings
10 reviews
4.0/ 5
Culture
3.5
Career growth
3.3
Work-life
3.7
Employees rate it well for
Job Security42Work-Life Balance42
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