MetLife

Job Responsibility

• Create, update, and maintain provider records in internal systems
• Conduct research in multiple systems to resolve the discrepancies in provider information (submitted Claims vs referral systems)
• Utilizes multiple mainframes, Dental applications, PC, and Internet based systems
• Validate/ update provider information (billing and rendering) for accuracy, completeness and eligibility according to established guidelines to support claim processing
• Efficiently update system logs basis the call / action taken
• Efficiently access and navigate multiple applications to gather and assess information
• Efficiently coordinate with process specialist in prescribed scenarios i.e.
• Any other essential function that may occur from time to time as directed by the Supervisor
• Perform these responsibilities in a consistent, professional manner while exercising strong verbal, written, and high-quality service skills

Essential Functions:

• Good written and oral communication skills
• Good analytical skills to be able to analyze
• English language skill – should be able to read, comprehend and write correctly
• Should be comfortable working on 2 to 3 computer screens
• Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy)
• Ability to research & take decision to resolve problem
• Prefer to have knowledge of Insurance principles in relation to the US Insurance industry
• Knowledge about US Culture. Strong organizational skills
• Demonstrate ability to work independently and in a team environment
• Self-disciplined and results oriented, ability to multitask
• Must be open to work in rotational shifts X 5 days work from office

Technical/Soft Skills

• Good computer navigation skills
• Excellent Keyboarding and data entry speed
• Multi-tasking, Knowledge of Insurance principles in relation to the US Insurance industry is preferred
• Knowledge about US Culture is preferred
• Typing speed test is required
• Good Communication skills
• Probing, problem-solving and interpersonal skills
• Escalate issues if required
• Data gathering ability/ Eye for detail
• Team work/ Managing Self / Adaptability
• Ability to work successfully in production driven environment
• Adaptability to change
• Ability to work on routine/standardized transactions
• Excellent written & verbal communication skills
• Strong customer satisfaction focus
• Positive mindset and willingness to learn
• Ability to work with autonomy