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