Sr Insurance Associate

MetLif; Dadri; On-site; INR 300,000 - 520,000; Full time

Job summary

MetLife in India seeks a claims processing professional to handle healthcare claims with accuracy and adherence to guidelines.

The role requires handling customer requests, researching policy provisions, and ensuring timely, compliant processing while meeting quality targets.

Qualifications

• Experience in healthcare claims handling and adjudication.
• Familiar with HIPAA guidelines and privacy requirements.
• Understanding of CPT codes and policy concepts.

Responsibilities

• Process claims as per the set healthcare guidelines.
• Respond to customer requests via multiple sources with excellent service.
• Research requests regarding product aspects, policy provisions, and claim status.
• Ensure quality and productivity targets are met and comply with policies.

Skills

Claims processing

Customer service

HIPAA compliance

CPT codes

Policy concepts

Teamwork

Job description

• 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.
• Need to ensure quality and productivity targets are met
• Ensure compliance with internal policies and procedures, external regulations and information security standards

About MetLife

Recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune World’s 25 Best Workplaces™, MetLife, through its subsidiaries and affiliates, is one of the world’s leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We’re looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible .Join us!