Supports MetLife Long Term Care Claims Operation by providing exemplary customer service while managing daily tasks assigned and performing other related duties as required.
Roles & Responsibilities
- Provides plan and claim information, assists with submission of claims and makes outbound calls to gather missing information on incomplete claims.
- Conducts research when needed to resolve customer questions or complaints.
- Responds to telephone inquiries from insured’s regarding specific claim details.
- Understands processes within entire department to assist callers with questions and triage information received.
- Works closely with the Claims Reimbursement and Care Managers to provide a seamless customer experience.
- Outbound calls and letters to customers and providers to research incomplete claims.
- Escalate complaints and potential complaints appropriately
- Contributes ideas that enhance service quality.
- Performs project work and other related duties as assigned or required
📌 Specialist (Noida)
🏢 MetLife
📍 Noida
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