Associate/Sr Associate

Description and Requirements Dental Claims & Services operations is the MetLife correspondence queues contain processing of dental claims basis the response received from the customer and review the email queries in detail and provide correct response following thorough research for all dental products. Claims are thoroughly researched and reviewed to determine approval, non-payment, referral, or the need for additional information. Email inquiries typically involve questions about coverage, claims status, policy status, and Met Dental profile-related issues. Job Responsibilities Scrutinizing dental claim documents & settlementsProcess claims as per the set healthcare guidelinesRespond 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 guidelinesAccurate processing of Dental claims and meeting productivity targetsGood understanding of Claims adjudication fundamentalsGood understanding of ICT & CPT Codes Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocketAble to learn, adapt, implement process guideline into practice, work as a natural team-player in the processEfficiently access and navigate multiple electronic systems to provide a complete and integrated response to the customer's inquiry.Handle escalationsNeed to ensure quality and productivity targets are metEnsure compliance with internal policies and procedures, external regulations and information security standards Technical Skills Computer navigation skillsKeyboarding and data entry speed (minimum 30 wpm with 90% accuracy)Working knowledge of MS Excel and MS Word.Process Specific SkillsKnowledge of Insurance principles in relation to the US Insurance industryKnowledge about US CultureKnowledge of Dental claims terminologies and processes will be an added advantageWritten- External/Internal (Free Flow) Email WritingFree flow correspondence creationExcellent comprehension skills - Interpret/analyze data from various resources , understands , documents and responds appropriately Soft Skills Strong organizational skillsExcellent Language skills (written ,verbal and comprehension)Demonstrate ability to work independently and in a team environmentSelf-disciplined and results orientedAbility to multi taskStrong understanding and comprehension of the English languageGood PC skillsAttention to detailTeam playerPositive attitude 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! #BI-Hybrid .