Specialist
2 weeks ago
Specialist Date Posted:
May 14, 2024Location(s): Noida, INCompany: MetLifeJob ResponsibilitiesAnalyze and process claims in a productive environment through our TLC claim system, SIR, plan specs andspecimen policyAppropriately interpret a variety of plan provisions and process claims accordingly, calculating claim payments andoverpaymentsReview claims for receipt of all needed documentation and make outbound calls to providers for additionalinformationCollaborate with our Claim Support Specialists, Customer Call Center and Care Coordinators to provide a seamlessAbide by department guidelines and appropriately follow up on necessary tasks to process claimsMeet quality review standards of processed claimsMeet performance standards for financial accuracy, processing accuracy and claim timelinessRespond to insured inquiries regarding specific claim details via telephone conversations and/or writtenGather and analyze information skillfully to identify and resolve problems in a timely mannerEducation, Technical Skills & Other Critical RequirementEducationBachelors degree (Any Stream) or diploma with a minimum of 15 years of education.
Experience(In Years)3-4 YearsTechnical Skills/other skillsExcellent Keyboarding and data entry speedKnowledge of Insurance principles in relation to the US Insurance industry is preferredGood verbal/written communication skills should be able to read, interpret business documentsExcellent analytical, mathematical and interpersonal skillsAbility to comprehend and apply varied rules to multiple policiesTeam work/ Managing Self / AdaptabilityAbility to work successfully and perform detail-oriented work in production driven environmentExcellent organizational skillsProven ability to meet quality and time standardsAbility to work on routine/standardized transactionsAbility to be flexible with regard to process changes#J-18808-Ljbffr-
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