Here at MetLife, we believe in the power of collective expertise and diverse perspectives. It takes a village to forge lasting changes the way we do, and our village is made up of dynamic individuals driven by purpose and kindness.
Dental Claims Approver III
Location(s)
Posting Location:Noida, India
City/Cities
Noida
Country
India
Working Schedule
Full-Time
Work Arrangement
Hybrid
Relocation Assistance Available
No
Posted Date
24-May-2024
Job ID
3150
Description and Requirements
Job Responsibilities
Scrutinizing dental claim documents & settlements
Process claims as per the set healthcare guidelines
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
Handle escalations
Need to ensure quality and productivity targets are met
Ensure compliance with internal policies and procedures, external regulations and information security standards
Knowledge, Skills and Abilities
Education
Bachelor’s degree (Any Stream) or diploma with a minimum of 15 years of education
Experience
2 years of work experience in US Health Claims processing preferably in claims adjudication
Knowledge and skills (general and technical)
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
Soft Skills
Strong organizational skills
Good communication skills
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