- 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
- Valuable 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

📌 Sr Insurance Associate (Noida)
🏢 MetLife
📍 Noida