Sr Insurance Associate

Metlife; Dadri; On-site; INR 400,000 - 600,000; Full time

Job summary

MetLife is seeking candidates for a dental claims processing position based in Noida, Uttar Pradesh. This role involves scrutinizing dental claim documents, responding to customer inquiries, and ensuring compliance with internal policies.

The ideal candidate should possess strong organizational skills, knowledge of insurance principles, and good comprehension skills. The position offers a hybrid work arrangement with a focus on quality and productivity.

Qualifications

• Minimum typing speed of 30 wpm with 90% accuracy.
• Knowledge of US culture and insurance principles.
• Strong understanding of claims adjudication fundamentals.

Responsibilities

• Scrutinize dental claim documents and process claims following healthcare guidelines.
• Respond to customer requests and ensure compliance with internal policies.
• Handle escalations and meet quality and productivity targets.

Skills

Computer navigation skills

Keyboarding and data entry speed (minimum 30 wpm)

Working knowledge of MS Excel

Knowledge of Insurance principles

Knowledge of Dental claims terminologies

Excellent comprehension skills

Strong organizational skills

Self-discipline and results-oriented

Good PC skills

Attention to detail

Job description

General Information

Location: Noida, Uttar Pradesh

Working Schedule: Full-Time

Work Arrangement: Hybrid

Relocation Assistance Available: No

Job Description

• 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
• 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- External/Internal (Free Flow) Email Writing
• 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
• Good PC skills
• Attention to detail
• Team player
• Positive attitude