- 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
- Valuable 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
- 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 Dental claims terminologies and processes will be an added advantage
- Written
- Free flow correspondence creation
- Excellent comprehension skills - Interpret/analyze data from various resources, understands, documents and responds appropriately
- Soft Skills
- 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

📌 Sr Insurance Associate (Noida)
🏢 MetLife
📍 Noida